Extensive coronary dissection treated with endarterectomy and coronary reconstruction

Authors

W Dudley Johnson
Tanvir Bajwa, Aurora Cardiovascular Services, Aurora Sinai/Aurora St. Luke’s Medical Centers, University of Wisconsin School of Medicine and Public HealthFollow
Suhail Allaqaband, Aurora Sinai/Aurora St. Luke's Medical Centers, Advocate Aurora HealthFollow
Mary R Howard

Recommended Citation

Johnson WD1, Bajwa TK, Allaqaband SQ, et al. Extensive coronary dissection treated with endarterectomy and coronary reconstruction. Ann Thorac Surg. 2002 Oct;74(4):1248-50.

Affiliations

Department of Cardiothoracic Surgery and Cardiology, Sinai Samaritan Hospital

Abstract

Acute coronary dissection is an uncommon event, usually not related to typical coronary risk factors, usually in women, and usually diagnosed at autopsy. This report describes a young woman with extensive left anterior descending coronary artery (LAD) dissection, refused for intervention since there was no lesion to angioplasty and no artery to bypass. A long arteriotomy was made, removing under direct vision all of the torn and dissected tissue, just as would be done for extensive LAD endarterectomy. A vein was split and attached to reconstruct the artery. Normal left ventricular function was restored.

Document Type

Article

PubMed ID

12400785