Abstract
A case of a previously fit young woman admitted with chest pain, who was found at coronary angiography to have dissection of the left main stem which extended to the left anterior descending and circumflex coronary arteries, is presented. Emergency coronary artery bypass grafting was performed (vein grafts to the left anterior descending, the diagonal, and circumflex arteries). The patient made an uneventful recovery, and three years after initial presentation she remains free of cardiac symptoms. Keywords: spontaneous coronary artery dissection
Full Text
The Full Text of this article is available as a PDF (65.7 KB).
Figure 1 .
Coronary angiography in the right anterior oblique position using a left Judkins (JL4) catheter. This shows a thin radioluscent line corresponding to a dissection of the left main stem (1) extending to the left anterior descending (2) and circumflex (3) coronary arteries. In addition there is flattening of the lumen of the left anterior descending coronary artery (2) with reduced distal flow.
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Basso C., Morgagni G. L., Thiene G. Spontaneous coronary artery dissection: a neglected cause of acute myocardial ischaemia and sudden death. Heart. 1996 May;75(5):451–454. doi: 10.1136/hrt.75.5.451. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hong M. K., Satler L. F., Mintz G. S., Wong S. C., Kent K. M., Pichard A. D., Popma J. J., Leon M. B. Treatment of spontaneous coronary artery dissection with intracoronary stenting. Am Heart J. 1996 Jul;132(1 Pt 1):200–202. doi: 10.1016/s0002-8703(96)90415-9. [DOI] [PubMed] [Google Scholar]
- Jorgensen M. B., Aharonian V., Mansukhani P., Mahrer P. R. Spontaneous coronary dissection: a cluster of cases with this rare finding. Am Heart J. 1994 May;127(5):1382–1387. doi: 10.1016/0002-8703(94)90060-4. [DOI] [PubMed] [Google Scholar]