title: Emergent cesarean section in the catheterization laboratory for spontaneous coronary artery dissection.
abstract: Spontaneous coronary artery dissection (SCAD) is a rare cause of acute coronary syndrome in pregnant women. Delay in the diagnosis might lead to substantial maternal and fetal morbidity and mortality. Although there have been reports of SCAD in pregnancy, to our knowledge, there have been no reports of maternal and fetal hemodynamic compromise related to SCAD leading to emergent delivery of fetus in the cardiac catheterization laboratory.
authors.affiliation: Department of Medicine, University Hospitals Case Medical Center, Cleveland, Ohio; Harrington Heart and Vascular Institute, University Hospitals, Cleveland, Ohio. Electronic address: varun1239@gmail.com.
authors.forename: Varun
authors.initials: V
authors.lastname: Sundaram
authors.affiliation: Division of Cardiovascular Medicine, Rhode Island Hospital, Brown University, Providence, Rhode Island.
authors.forename: Sunit-Preet
authors.initials: SP
authors.lastname: Chaudhry
authors.affiliation: Division of Cardiovascular Medicine, Mayo Clinic, Rochester, Minessota.
authors.forename: Yogesh N V
authors.initials: YN
authors.lastname: Reddy
authors.affiliation: Department of Medicine, University Hospitals Case Medical Center, Cleveland, Ohio; Harrington Heart and Vascular Institute, University Hospitals, Cleveland, Ohio.
authors.forename: Chris T
authors.initials: CT
authors.lastname: Longenecker
authors.affiliation: Division of Cardiovascular Medicine, University of Utah Health Care, Salt Lake City, Utah.
authors.forename: James C
authors.initials: JC
authors.lastname: Fang
mesh_terms: D000328:Adult; D002585:Cesarean Section; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D003330:Coronary Vessel Anomalies / Q000150:complications / Q000175:diagnosis* / Q000601:surgery*; D017147:Defibrillators, Implantable; D003937:Diagnosis, Differential; D004562:Electrocardiography; D004630:Emergencies; D005260:Female; D006801:Humans; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000175:diagnosis* / Q000601:surgery*; D011256:Pregnancy Outcome; D014652:Vascular Diseases / Q000150:complications / Q000151:congenital* / Q000175:diagnosis / Q000601:surgery; D018487:Ventricular Dysfunction, Left / Q000209:etiology / Q000628:therapy