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Cardiol Rev. 2006 May-Jun;14(3):155-7.

Coronary artery dissection during pregnancy treated with medical therapy.

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Division of Cardiology, North Shore University Hospital, Manhasset, New York 11030, USA.


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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