Unique Case of Spontaneous Left Main Coronary Dissection in Second Trimester of Pregnancy Successfully Treated with Percutaneous Coronary Intervention: A Happy Ending.
Alessandro MalagoliAlessandro NavazioGiovanni TortorellaVincenzo GuiducciPublished in: Journal of cardiovascular development and disease (2021)
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.
Keyphrases
- pregnancy outcomes
- percutaneous coronary intervention
- preterm birth
- acute coronary syndrome
- pregnant women
- coronary artery disease
- st segment elevation myocardial infarction
- antiplatelet therapy
- acute myocardial infarction
- st elevation myocardial infarction
- gestational age
- coronary artery bypass grafting
- randomized controlled trial
- coronary artery
- birth weight
- coronary artery bypass
- quality improvement
- case report
- body mass index
- left ventricular
- study protocol