TY - JOUR
T1 - Staged Therapeutic Approach in Spontaneous Coronary Dissection
AU - Aliyary, Siamak
AU - Mariani, Massimo A.
AU - Verhorst, Patrick M.J.
AU - Hartmann, Marc
AU - Stoel, Martin G.
AU - von Birgelen, Clemens
PY - 2007/5/1
Y1 - 2007/5/1
N2 - Spontaneous coronary artery dissection is an extremely rare event occurring especially in pregnant women, either peripartum or postpartum. Urgent coronary angiography has to be performed to confirm the diagnosis and to determine the appropriate therapeutic strategy. We present the case of a 36-year-old woman in week 36 of her pregnancy who was admitted in cardiogenic shock due to an acute anterolateral myocardial infarction as a result of spontaneous coronary artery dissection. While she was on aortic balloon counterpulsation the patient underwent a cesarean section and gave birth to a healthy child. Subsequently she successfully underwent off-pump coronary artery bypass surgery.
AB - Spontaneous coronary artery dissection is an extremely rare event occurring especially in pregnant women, either peripartum or postpartum. Urgent coronary angiography has to be performed to confirm the diagnosis and to determine the appropriate therapeutic strategy. We present the case of a 36-year-old woman in week 36 of her pregnancy who was admitted in cardiogenic shock due to an acute anterolateral myocardial infarction as a result of spontaneous coronary artery dissection. While she was on aortic balloon counterpulsation the patient underwent a cesarean section and gave birth to a healthy child. Subsequently she successfully underwent off-pump coronary artery bypass surgery.
UR - http://www.scopus.com/inward/record.url?scp=34247270130&partnerID=8YFLogxK
U2 - 10.1016/j.athoracsur.2006.11.085
DO - 10.1016/j.athoracsur.2006.11.085
M3 - Article
C2 - 17462423
AN - SCOPUS:34247270130
SN - 0003-4975
VL - 83
SP - 1879
EP - 1881
JO - Annals of thoracic surgery
JF - Annals of thoracic surgery
IS - 5
ER -
