Unique Case of Spontaneous Left Main Coronary Dissection in Second Trimester of Pregnancy Successfully Treated with Percutaneous Coronary Intervention: A Happy Ending

Among pregnant women, SCAD is the most frequent etiology of non-atherosclerotic acute coronary syndrome. SCAD related to pregnancy is more frequent within the first month (especially first week) of puerperium or last trimester, or is otherwise anecdotal. The concomitance of SCAD and pregnancy poses...

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Detalles Bibliográficos
Autores principales: Mantovani, Francesca, Navazio, Alessandro, Tortorella, Giovanni, Guiducci, Vincenzo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8779120/
https://www.ncbi.nlm.nih.gov/pubmed/35050219
http://dx.doi.org/10.3390/jcdd9010009
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author Mantovani, Francesca
Navazio, Alessandro
Tortorella, Giovanni
Guiducci, Vincenzo
author_facet Mantovani, Francesca
Navazio, Alessandro
Tortorella, Giovanni
Guiducci, Vincenzo
author_sort Mantovani, Francesca
collection PubMed
description Among pregnant women, SCAD is the most frequent etiology of non-atherosclerotic acute coronary syndrome. SCAD related to pregnancy is more frequent within the first month (especially first week) of puerperium or last trimester, or is otherwise anecdotal. The concomitance of SCAD and pregnancy poses many issues regarding diagnosis and treatment in respect to maternal and fetal safety and requires tailored intervention with close interaction between clinical cardiologists, interventional cardiologists, cardiothoracic surgeons, and obstetricians. We report the case of a patient, pregnant in the second trimester with a life-threatening SCAD, successfully treated with percutaneous coronary intervention with excellent outcome for mother and baby.
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spelling pubmed-87791202022-01-22 Unique Case of Spontaneous Left Main Coronary Dissection in Second Trimester of Pregnancy Successfully Treated with Percutaneous Coronary Intervention: A Happy Ending Mantovani, Francesca Navazio, Alessandro Tortorella, Giovanni Guiducci, Vincenzo J Cardiovasc Dev Dis Case Report Among pregnant women, SCAD is the most frequent etiology of non-atherosclerotic acute coronary syndrome. SCAD related to pregnancy is more frequent within the first month (especially first week) of puerperium or last trimester, or is otherwise anecdotal. The concomitance of SCAD and pregnancy poses many issues regarding diagnosis and treatment in respect to maternal and fetal safety and requires tailored intervention with close interaction between clinical cardiologists, interventional cardiologists, cardiothoracic surgeons, and obstetricians. We report the case of a patient, pregnant in the second trimester with a life-threatening SCAD, successfully treated with percutaneous coronary intervention with excellent outcome for mother and baby. MDPI 2021-12-31 /pmc/articles/PMC8779120/ /pubmed/35050219 http://dx.doi.org/10.3390/jcdd9010009 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Mantovani, Francesca
Navazio, Alessandro
Tortorella, Giovanni
Guiducci, Vincenzo
Unique Case of Spontaneous Left Main Coronary Dissection in Second Trimester of Pregnancy Successfully Treated with Percutaneous Coronary Intervention: A Happy Ending
title Unique Case of Spontaneous Left Main Coronary Dissection in Second Trimester of Pregnancy Successfully Treated with Percutaneous Coronary Intervention: A Happy Ending
title_full Unique Case of Spontaneous Left Main Coronary Dissection in Second Trimester of Pregnancy Successfully Treated with Percutaneous Coronary Intervention: A Happy Ending
title_fullStr Unique Case of Spontaneous Left Main Coronary Dissection in Second Trimester of Pregnancy Successfully Treated with Percutaneous Coronary Intervention: A Happy Ending
title_full_unstemmed Unique Case of Spontaneous Left Main Coronary Dissection in Second Trimester of Pregnancy Successfully Treated with Percutaneous Coronary Intervention: A Happy Ending
title_short Unique Case of Spontaneous Left Main Coronary Dissection in Second Trimester of Pregnancy Successfully Treated with Percutaneous Coronary Intervention: A Happy Ending
title_sort unique case of spontaneous left main coronary dissection in second trimester of pregnancy successfully treated with percutaneous coronary intervention: a happy ending
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8779120/
https://www.ncbi.nlm.nih.gov/pubmed/35050219
http://dx.doi.org/10.3390/jcdd9010009
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