{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T00:01:36Z","timestamp":1769126496411,"version":"3.49.0"},"reference-count":4,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,17]],"date-time":"2026-01-17T00:00:00Z","timestamp":1768608000000},"content-version":"vor","delay-in-days":16,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>This case report details a rare instance of recurrent spontaneous coronary artery dissection (SCAD) in a 39\u2010year\u2010old woman following the delivery of twins, leading to cardiogenic shock. SCAD, although occurring most commonly in middle\u2010aged women (45\u201352\u2009years), can also occur in young, otherwise healthy women, in association with pregnancy. In this situation, it poses significant diagnostic and therapeutic challenges, particularly during pregnancy or postpartum periods. This patient's emergency coronary angiography revealed double\u2010vessel SCAD, and initial treatment with a drug\u2010eluting stent failed. Surgical intervention with coronary artery bypass grafting (CABG) was ultimately necessary due to recurrent dissection and hemodynamic instability. The case underscores the utility of CABG as a definitive treatment for SCAD, particularly when percutaneous interventions are insufficient. Additionally, the report discusses the importance of early diagnosis using advanced imaging techniques and highlights postoperative management, including beta\u2010blockers to reduce recurrence risk. This case provides insights into SCAD's complex pathophysiology and the critical role of tailored intervention strategies for young women postpartum.<\/jats:p>","DOI":"10.1002\/ccr3.71028","type":"journal-article","created":{"date-parts":[[2026,1,17]],"date-time":"2026-01-17T08:11:33Z","timestamp":1768637493000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Recurrent Spontaneous Coronary Dissection in Puerperium Precipitating in Cardiogenic Shock Prompted Coronary Artery Bypass Grafting"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9583-1581","authenticated-orcid":false,"given":"Lorenzo","family":"Giovannico","sequence":"first","affiliation":[{"name":"Dipartimento di Medicina di Precisione e Rigenerativa e Area Jonica Universit\u00e0 degli Studi di Bari Aldo Moro  Bari Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giuseppe","family":"Fischetti","sequence":"additional","affiliation":[{"name":"Dipartimento di Medicina di Precisione e Rigenerativa e Area Jonica Universit\u00e0 degli Studi di Bari Aldo Moro  Bari Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Domenico","family":"Parigino","sequence":"additional","affiliation":[{"name":"Dipartimento di Medicina di Precisione e Rigenerativa e Area Jonica Universit\u00e0 degli Studi di Bari Aldo Moro  Bari Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Federica","family":"Mazzone","sequence":"additional","affiliation":[{"name":"Dipartimento di Medicina di Precisione e Rigenerativa e Area Jonica Universit\u00e0 degli Studi di Bari Aldo Moro  Bari Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luca","family":"Savino","sequence":"additional","affiliation":[{"name":"Dipartimento di Medicina di Precisione e Rigenerativa e Area Jonica Universit\u00e0 degli Studi di Bari Aldo Moro  Bari Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emanuela","family":"De Cillis","sequence":"additional","affiliation":[{"name":"Dipartimento di Medicina di Precisione e Rigenerativa e Area Jonica Universit\u00e0 degli Studi di Bari Aldo Moro  Bari Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aldo Domenico","family":"Milano","sequence":"additional","affiliation":[{"name":"Dipartimento di Medicina di Precisione e Rigenerativa e Area Jonica Universit\u00e0 degli Studi di Bari Aldo Moro  Bari Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomaso","family":"Bottio","sequence":"additional","affiliation":[{"name":"Dipartimento di Medicina di Precisione e Rigenerativa e Area Jonica Universit\u00e0 degli Studi di Bari Aldo Moro  Bari Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,1,17]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2017.06.053"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/clc.22909"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/RCT.0000000000000255"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.21037\/cdt.2020.02.01"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.71028","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccr3.71028","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.71028","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T07:17:20Z","timestamp":1769066240000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.71028"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":4,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1002\/ccr3.71028"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.71028","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"value":"2050-0904","type":"print"},{"value":"2050-0904","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2025-05-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-15","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-17","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e71028"}}