Bicoastal Spontaneous Coronary Artery Dissection: A Therapeutic Dilemma

Due to the potential for severe maternal morbidity and even mortality, pregnancy-associated spontaneous coronary artery dissection (P-SCAD) often presents as a clinical conundrum. While current recommendations encourage coronary interventions when medically indicated even during pregnancy, the hesit...

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Main Authors: Ann B. Nguyen Pham, Madushka Y. De Zoysa, Brian B. Ghoshhajra, Nandita S. Scott, Afshan B. Hameed
Format: Article
Language:English
Published: Thieme Medical Publishers, Inc. 2024-01-01
Series:American Journal of Perinatology Reports
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1778112
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author Ann B. Nguyen Pham
Madushka Y. De Zoysa
Brian B. Ghoshhajra
Nandita S. Scott
Afshan B. Hameed
author_facet Ann B. Nguyen Pham
Madushka Y. De Zoysa
Brian B. Ghoshhajra
Nandita S. Scott
Afshan B. Hameed
author_sort Ann B. Nguyen Pham
collection DOAJ
description Due to the potential for severe maternal morbidity and even mortality, pregnancy-associated spontaneous coronary artery dissection (P-SCAD) often presents as a clinical conundrum. While current recommendations encourage coronary interventions when medically indicated even during pregnancy, the hesitation still understandably exists. Meanwhile, given the rarity of the condition, the guidelines for management are still based on expert consensus.
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spelling doaj.art-6af5b5c3f62a43f9b631b5c08513cf302024-01-23T23:34:35ZengThieme Medical Publishers, Inc.American Journal of Perinatology Reports2157-69982157-70052024-01-011401e34e3910.1055/s-0043-1778112Bicoastal Spontaneous Coronary Artery Dissection: A Therapeutic DilemmaAnn B. Nguyen Pham0https://orcid.org/0000-0002-1598-9013Madushka Y. De Zoysa1https://orcid.org/0000-0002-2473-9702Brian B. Ghoshhajra2Nandita S. Scott3Afshan B. Hameed4Department of Obstetrics and Gynecology, University of California, Irvine, Orange, CaliforniaDepartment of Maternal-Fetal Medicine, University of California, Irvine, Orange, CaliforniaDivision of Cardiovascular Imaging, Department of Radiology, Massachusetts General Hospital, Boston, MassachusettsDivision of Cardiology, Department of Medicine, Massachusetts General Hospital, Boston, MassachusettsDepartment of Maternal-Fetal Medicine, University of California, Irvine, Orange, CaliforniaDue to the potential for severe maternal morbidity and even mortality, pregnancy-associated spontaneous coronary artery dissection (P-SCAD) often presents as a clinical conundrum. While current recommendations encourage coronary interventions when medically indicated even during pregnancy, the hesitation still understandably exists. Meanwhile, given the rarity of the condition, the guidelines for management are still based on expert consensus.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1778112Keywordspregnancyspontaneous coronary artery dissectionpregnancy-associated SCAD
spellingShingle Ann B. Nguyen Pham
Madushka Y. De Zoysa
Brian B. Ghoshhajra
Nandita S. Scott
Afshan B. Hameed
Bicoastal Spontaneous Coronary Artery Dissection: A Therapeutic Dilemma
American Journal of Perinatology Reports
Keywords
pregnancy
spontaneous coronary artery dissection
pregnancy-associated SCAD
title Bicoastal Spontaneous Coronary Artery Dissection: A Therapeutic Dilemma
title_full Bicoastal Spontaneous Coronary Artery Dissection: A Therapeutic Dilemma
title_fullStr Bicoastal Spontaneous Coronary Artery Dissection: A Therapeutic Dilemma
title_full_unstemmed Bicoastal Spontaneous Coronary Artery Dissection: A Therapeutic Dilemma
title_short Bicoastal Spontaneous Coronary Artery Dissection: A Therapeutic Dilemma
title_sort bicoastal spontaneous coronary artery dissection a therapeutic dilemma
topic Keywords
pregnancy
spontaneous coronary artery dissection
pregnancy-associated SCAD
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1778112
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