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Ann Thorac Surg 2007;83:1879-1881
© 2007 The Society of Thoracic Surgeons

Case Reports

Staged Therapeutic Approach in Spontaneous Coronary Dissection

Siamak Aliyary, MDa, Massimo A. Mariani, MD, PhDb, Patrick M.J. Verhorst, MD, PhDa, Marc Hartmann, MDa, Martin G. Stoel, MDa, Clemens von Birgelen, MD, PhDa,*

a Department of Cardiology, Medisch Spectrum Twente, Enschede, the Netherlands
b Department of Cardiac Surgery, Medisch Spectrum Twente, Enschede, the Netherlands

Accepted for publication November 28, 2006.

* Address correspondence to Dr von Birgelen, Medisch Spectrum Twente, Thoraxcenter Twente, Department of Cardiology, Haaksbergerstraat 55, Enschede, 7513ER the Netherlands (Email: von.birgelen{at}12move.nl).

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.




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H. M.F. Sherif, H. C. Nguyen, B. H. Sarter, J. T. West, E. Lucente, D. M. Fink, A. Quesada-Rojas, and M. K. Banbury
Spontaneous coronary dissection in late pregnancy: a multidisciplinary approach to management.
Ann. Thorac. Surg., May 1, 2008; 85(5): 1793 - 1794.
[Abstract] [Full Text] [PDF]


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