Mode of Delivery for a Term Patient with Spontaneous Coronary Artery Dissection

2018 ARC Journal of Gynecology and Obstetrics  
Management of spontaneous coronary artery dissection (SCAD) depends on maternal stability and fetal status. When SCAD is diagnosed in the antepartum period, consideration must be given to mode of delivery of the fetus. Case presentation: 32-year-old G9P4134 presented at 38.3 weeks gestation with SCAD. She was managed medically and remained stable. With limited data to guide us, the decision for cesarean section was made based on maximizing the resources available to care for a sudden cardiac
more » ... a sudden cardiac event during labor or delivery. Conclusion: We believe from this case that the standard approach to labor and delivery for patients with cardiac disease (vaginal delivery with expedited second stage of labor) may not apply to patients with SCAD.
doi:10.20431/2456-0561.0301001 fatcat:upplqgep5felnk35sk33spdmgu