Unique Case of Spontaneous Left Main Coronary Dissection in Second Trimester of Pregnancy Successfully Treated with Percutaneous Coronary Intervention: A Happy Ending
Key result
PCI successfully treats life-threatening SCAD in 1 pregnant patient with excellent maternal and fetal outcomes.
- n=1
Why the study?
SCAD concomitant with pregnancy poses significant diagnostic and treatment challenges regarding maternal and fetal safety, and presentation during the second trimester is anecdotal.
Design
Case report
Authors
Discussion
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Member takes
Implication
PCI may be feasible for select life-threatening SCAD in second-trimester pregnancy; leaves open need for prospective data.
Study Design
Type
Case Report (n=1)
Structured PICO
P
Population
1 pregnant patient in the second trimester with life-threatening spontaneous left main coronary artery dissection (SCAD)
I
Intervention
Percutaneous coronary intervention (PCI)
O
Outcome
Maternal and fetal outcome
Percutaneous coronary intervention can be a successful and safe treatment for life-threatening spontaneous coronary artery dissection during the second trimester of pregnancy.
Cite This Study
Mantovani et al. (2021) conducted a case report in Spontaneous left main coronary dissection (SCAD) in pregnancy (n=1). Percutaneous coronary intervention was evaluated on Maternal and fetal outcome. Percutaneous coronary intervention successfully treated 1 pregnant patient in her second trimester with a life-threatening spontaneous coronary artery dissection, yielding excellent outcomes.