Article Text

Download PDFPDF

Iatrogenic propagation of coronary dissection during diagnostic coronary angiography: an uncommon but important procedural consideration
  1. Chirag K. Desai,
  2. Udit Bhatnagar,
  3. Adam Stys,
  4. Orvar Jonsson
  1. Cardiovascular Disease, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota, USA
  1. Correspondence to Dr Chirag K. Desai, chirag.ks.desai{at}


Spontaneous coronary artery dissection is an uncommon cause of acute myocardial infarction in the general population but is relatively more common in the peripartum period. Regardless of clinical setting, the management strategy is individualised, ranging from conservative to invasive. We report a case of peripartum myocardial infarction due to spontaneous coronary dissection that propagated during diagnostic angiography and ultimately required emergent bypass surgery.

  • interventional cardiology
  • ischaemic heart disease
  • pregnancy

This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:

View Full Text

Statistics from


  • Contributors CKD drafted and revised the manuscript. UB, AS and OJ assisted with all subsequent and final manuscript revisions.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.