<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2078-7170</journal-id>
<journal-title><![CDATA[CorSalud]]></journal-title>
<abbrev-journal-title><![CDATA[CorSalud]]></abbrev-journal-title>
<issn>2078-7170</issn>
<publisher>
<publisher-name><![CDATA[Cardiocentro Ernesto Che Guevara]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2078-71702019000200179</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Disección espontánea de arterias coronarias en el puerperio. Presentación de caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Spontaneous dissection of coronary arteries in the puerperium. Case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cárdenas Fernández]]></surname>
<given-names><![CDATA[Yoanis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez Redonet]]></surname>
<given-names><![CDATA[Edel M.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ravelo Dopico]]></surname>
<given-names><![CDATA[Roger]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez García]]></surname>
<given-names><![CDATA[Geovedys]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Valdés Carrazana]]></surname>
<given-names><![CDATA[Eliset]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Cruz]]></surname>
<given-names><![CDATA[Liz O.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Servicio de Cardiología, Hospital Militar Central Carlos J Finlay Universidad de Ciencias Médicas de La Habana Facultad Finlay Albarrán]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Servicio de Obstetricia, Hospital Universitario Ginecobstétrico América Arias Universidad de Ciencias Médicas de La Habana Facultad Calixto García]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Servicio de Cardiología, Hospital General Docente Enrique Cabrera Universidad de Ciencias Médicas de La Habana Facultad Enrique Cabrera]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<volume>11</volume>
<numero>2</numero>
<fpage>179</fpage>
<lpage>183</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S2078-71702019000200179&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S2078-71702019000200179&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S2078-71702019000200179&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN La disección espontánea de una arteria coronaria durante el embarazo es una causa poco común de infarto agudo de miocardio, con un alto riesgo de muerte materna. El diagnóstico se realiza mediante angiografía, aunque muchos casos son diagnosticados durante la autopsia. Se presenta el caso de una mujer blanca de 38 años de edad, fumadora, multípara, que al quinto día del puerperio presentó dolor centrotorácico, opresivo e intenso, y en el electrocardiograma se evidenció un infarto agudo de miocardio anterior extenso. La coronariografía demostró disección de la arteria coronaria izquierda incluido el tronco, la descendente anterior y la circunfleja. Se realizó angioplastia primaria y se produjo trombosis hiperaguda del stent implantado. La paciente falleció al quinto día en cuadro de shock cardiogénico refractario. No hay recomendaciones de tratamiento estándar, se considera que la angioplastia primaria es el tratamiento de elección. Es esencial la integración multidisciplinaria de cardiólogo, obstetra, cardiocirujano y anestesiólogo para decidir el mejor tratamiento.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT The spontaneous dissection of a coronary artery during pregnancy is a rare cause of acute myocardial infarction, with a high risk of maternal death. It can be diagnosed through coronary angiography, although many cases are diagnosed during autopsy. There is presented the case of a 38-year-old white woman, smoker, multiparous, that at the fifth day postpartum presented midthoracic, oppressive and intense pain, and the electrocardiogram evidenced an extensive acute anterior myocardial infarction. The coronary angiography showed dissection of the left coronary artery including the left main, the left anterior descending and the circumflex artery. A primary angioplasty was performed and there was a hyperacute thrombosis of the implanted stent. The patient died on the fifth day in refractory cardiogenic shock. There are no standard treatment recommendations, the primary angioplasty is considered the treatment of choice. The multidisciplinary integration of cardiologist, obstetrician, cardiac surgeon and anesthesiologist is essential to decide the best treatment.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Infarto de miocardio]]></kwd>
<kwd lng="es"><![CDATA[Disección coronaria]]></kwd>
<kwd lng="es"><![CDATA[Puerperio]]></kwd>
<kwd lng="es"><![CDATA[Intervención coronaria percutánea]]></kwd>
<kwd lng="en"><![CDATA[Myocardial infarction]]></kwd>
<kwd lng="en"><![CDATA[Coronary artery dissection]]></kwd>
<kwd lng="en"><![CDATA[Puerperium]]></kwd>
<kwd lng="en"><![CDATA[Percutaneous coronary intervention]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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