Medical management can be a successful treatment strategy for spontaneous coronary artery dissection during pregnancy once spontaneous reperfusion is achieved.
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.
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Phillips et al. (2006) studied this question.
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