title: Coronary artery dissection during pregnancy treated with medical therapy.
abstract: Spontaneous coronary artery dissection is a rare etiology of myocardial infarction with a higher noted incidence in pregnancy. The recognition and proper treatment of this condition affects patient outcomes. We report the case of a coronary artery dissection during a twin pregnancy involving the left anterior descending artery. Successful treatment with medical management was possible once spontaneous reperfusion had been achieved.
authors.affiliation: Division of Cardiology, North Shore University Hospital, Manhasset, New York 11030, USA.
authors.forename: Lawrence M
authors.initials: LM
authors.lastname: Phillips
authors.forename: Amgad N
authors.initials: AN
authors.lastname: Makaryus
authors.forename: Stuart
authors.initials: S
authors.lastname: Beldner
authors.forename: Allison
authors.initials: A
authors.lastname: Spatz
authors.forename: Michelle
authors.initials: M
authors.lastname: Smith-Levitin
authors.forename: Donna
authors.initials: D
authors.lastname: Marchant
mesh_terms: D000319:Adrenergic beta-Antagonists / Q000627:therapeutic use; D000328:Adult; D000784:Aortic Dissection / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D001241:Aspirin / Q000627:therapeutic use; D002317:Cardiovascular Agents / Q000627:therapeutic use*; D003323:Coronary Aneurysm / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D005260:Female; D006801:Humans; D009203:Myocardial Infarction / Q000188:drug therapy / Q000209:etiology*; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000175:diagnosis* / Q000188:drug therapy; D012422:Rupture, Spontaneous / Q000175:diagnosis
chemical_list: D000319:Adrenergic beta-Antagonists; D002317:Cardiovascular Agents; D010975:Platelet Aggregation Inhibitors; D001241:Aspirin