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Ann Thorac Surg 2008;85:1793-1794. doi:10.1016/j.athoracsur.2007.11.018
© 2008 The Society of Thoracic Surgeons

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Hisham M.F. Sherif
Hiep C. Nguyen
Michael K. Banbury
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Right arrow Coronary disease


Case Reports

Spontaneous Coronary Dissection in Late Pregnancy: A Multidisciplinary Approach to Management

Hisham M.F. Sherif, MDa,*, Hiep C. Nguyen, MDa, Brian H. Sarter, MDb, Joseph T. West, MDb, Edward Lucente, MDc, David M. Fink, MDd, Adrian Quesada-Rojas, MDd, Michael K. Banbury, MDa

a Department of Cardiac Surgery, Christiana Hospital, Christiana Care Health System, Newark, Delaware
b Department of Cardiology, Christiana Hospital, Christiana Care Health System, Newark, Delaware
c Department of Cardiac Anesthesia, Christiana Hospital, Christiana Care Health System, Newark, Delaware
d Department of Obstetrics and Gynecology, Christiana Hospital, Christiana Care Health System, Newark, Delaware

Accepted for publication November 2, 2007.

* Address correspondence to Dr Sherif, Department of Cardiac Surgery, Christiana Hospital, Christiana Care Health System, 4755 Ogletown-Stanton Rd, Ste 1E50, Newark, DE 19718 (Email: hsherif{at}christianacare.org).

Spontaneous coronary dissection is a rare but potentially life-threatening condition. It often occurs in late pregnancy and may pose significant risks for the patient and the fetus. Its cause remains uncertain, and established guidelines for management have not been developed. In this report, close multidisciplinary collaboration has led to excellent outcomes in this condition.







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