{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T06:25:50Z","timestamp":1787120750417,"version":"build-2736575974"},"reference-count":8,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T00:00:00Z","timestamp":1782950400000},"content-version":"vor","delay-in-days":1,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"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":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Spontaneous coronary artery dissection (SCAD) is a rare cause of acute coronary syndrome with debated optimal treatment in the setting of cardiogenic shock (CS). We report a case of a middle\u2010aged woman presenting with out\u2010of\u2010hospital cardiac arrest due to extensive multivessel SCAD. Without evidence for transmural ischemia, we chose conservative treatment with single antiplatelet therapy and heparin. Due to deteriorating hemodynamics, a temporary left ventricular assist device (Impella) was implanted, stabilizing the patient. After weaning the device and initiating heart failure therapy, the patient recovered completely. This case highlights several important considerations for the management of SCAD patients with CS.<\/jats:p>","DOI":"10.1002\/ccr3.72998","type":"journal-article","created":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T04:41:58Z","timestamp":1783053718000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Management of Spontaneous Coronary Dissection Complicated by Cardiogenic Shock: A Case Report"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7900-1836","authenticated-orcid":false,"given":"Daniel","family":"Gr\u00fcter","sequence":"first","affiliation":[{"name":"Cardiology Division Heart Center\u2010Luzerner Kantonsspital  Luzern Switzerland"},{"name":"Department of Internal Medicine Luzerner Kantonsspital  Wolhusen Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Seiler","sequence":"additional","affiliation":[{"name":"Cardiology Division Heart Center\u2010Luzerner Kantonsspital  Luzern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chiara","family":"Schaffner","sequence":"additional","affiliation":[{"name":"Cardiology Division Heart Center\u2010Luzerner Kantonsspital  Luzern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adrian","family":"Attinger","sequence":"additional","affiliation":[{"name":"Cardiology Division Heart Center\u2010Luzerner Kantonsspital  Luzern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Florim","family":"Cuculi","sequence":"additional","affiliation":[{"name":"Cardiology Division Heart Center\u2010Luzerner Kantonsspital  Luzern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1587-2819","authenticated-orcid":false,"given":"Matthias","family":"Bossard","sequence":"additional","affiliation":[{"name":"Cardiology Division Heart Center\u2010Luzerner Kantonsspital  Luzern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,2]]},"reference":[{"key":"e_1_2_13_2_1","first-page":"141","article-title":"Clinical Outcomes of Cardiogenic Shock due to Spontaneous Coronary Artery Dissection Versus Cardiogenic Shock due to Coronary Artery Disease","volume":"23","author":"Krittanawong C.","year":"2024","journal-title":"Critical Pathways in Cardiology"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.114.001659"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000564"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2018.12.011"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.120.018551"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.3390\/pathophysiology29040047"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.29449"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.3389\/fcvm.2022.856870"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.72998","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccr3.72998","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.72998","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T05:35:48Z","timestamp":1787117748000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.72998"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":8,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1002\/ccr3.72998"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.72998","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"value":"2050-0904","type":"print"},{"value":"2050-0904","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"2025-09-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-01","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-02","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e72998"}}