Surgical management of spontaneous left main coronary artery dissection

P A Thistlethwaite; R Y Tarazi; F J Giordano; S W Jamieson

doi:10.1016/s0003-4975(98)00382-8

Surgical management of spontaneous left main coronary artery dissection

Ann Thorac Surg. 1998 Jul;66(1):258-60. doi: 10.1016/s0003-4975(98)00382-8.

Authors

P A Thistlethwaite¹, R Y Tarazi, F J Giordano, S W Jamieson

Affiliation

¹ Division of Cardiothoracic Surgery, University of California, San Diego, USA. [email protected]

PMID: 9692481
DOI: 10.1016/s0003-4975(98)00382-8

Abstract

Two cases of spontaneous left main coronary artery dissection are reported. This condition is rare and may present as an urgent surgical dilemma. The presentation, diagnosis, and management of primary left main coronary artery dissection are reviewed. Causative factors and underlying pathology are clarified. Prompt diagnosis and surgical intervention with temporary ventricular support is safe and effective.

Publication types

Case Reports

MeSH terms

Adolescent
Adult
Anastomosis, Surgical
Aortic Dissection / diagnosis
Aortic Dissection / etiology
Aortic Dissection / pathology
Aortic Dissection / surgery*
Coronary Aneurysm / diagnosis
Coronary Aneurysm / etiology
Coronary Aneurysm / pathology
Coronary Aneurysm / surgery*
Coronary Artery Bypass
Female
Follow-Up Studies
Humans
Male
Saphenous Vein / transplantation
Thoracic Arteries / transplantation