ArticleJACC. Case reports2026
Postpartum Left Main Spontaneous Coronary Artery Dissection With Shock, Requiring Surgery and Extracorporeal Membrane Oxygenation.
Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSpontaneous coronary artery dissection (SCAD) is an important cause of acute coronary syndrome in young women; pregnancy-associated SCAD disproportionately involves the left main coronary artery (LMCA) and cardiogenic shock. CASE SUMMARY: A 34-year-old woman, 3 months postpartum, presented with collapse and chest pain 2 days after resuming menses. Angiography revealed extensive LMCA dissection extending into the left anterior descending and circumflex arteries. Rapid hemodynamic deterioration necessitated emergency bypass grafting and central venoarterial extracorporeal membrane oxygenation for cardiogenic shock. Her course was complicated by pericardial hematoma and pneumonia; she was weaned from mechanical support with ejection fraction recovery to 50%-55%. DISCUSSION: This case represents an exceptionally rare pregnancy-associated SCAD phenotype combining LMCA involvement, cardiogenic shock, and revascularization. TAKE-HOME MESSAGE: Preserved left ventricular function does not exclude impending collapse in LMCA SCAD; menstrual resumption may be an under-recognized hormonal precipitant of pregnancy-associated SCAD; and meaningful recovery is achievable with prompt, multidisciplinary management.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.