Home > Journals > The Journal of Cardiovascular Surgery > Past Issues > The Journal of Cardiovascular Surgery 1999 August;40(4) > The Journal of Cardiovascular Surgery 1999 August;40(4):531-3

CURRENT ISSUE
 

ARTICLE TOOLS

Reprints

THE JOURNAL OF CARDIOVASCULAR SURGERY

A Journal on Cardiac, Vascular and Thoracic Surgery


Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 2,179


eTOC

 

CASE REPORTS  CARDIAC PAPERS


The Journal of Cardiovascular Surgery 1999 August;40(4):531-3

Copyright © 2000 EDIZIONI MINERVA MEDICA

language: English

Spontaneous dissection of coronary artery in a patient with ascending aortic aneurysm and aortic valve regurgitation

Di Bartolomeo R., Pacini D., Nicolini F., Giancola R., Pierangeli A.

From the Department of Cardiac Surgery University of Bologna, Italy


PDF  


Spon­ta­neous cor­o­nary ­artery dis­sec­tion is a ­rare ­cause of myo­car­dial infarc­tion asso­ciated ­with a sig­nif­i­cant ­high mor­bidity and mor­tality. It usu­ally ­occurs in rel­a­tively ­young ­patients and it is fre­quently ­found at ­autopsy. We ­report a ­case of a 42-­year-old ­woman, who under­went resec­tion of sub­aortic dia­phragm ten ­years ear­lier pre­senting ­with pos­tero-lat­eral myo­car­dial infarc­tion. Cor­o­nary arter­i­og­raphy ­revealed a dis­sec­tion of the ­left ­main ­stem ­extending dis­tally to the ­left ante­rior ­descending ­artery (LAD) and cir­cum­flex ­artery (Cx); occlu­sion of the pos­tero-lat­eral ­branch of the Cx; ­severe ­aortic ­valve regur­gi­ta­tion and ­ascending ­aortic aneu­rysm. She was suc­cess­fully oper­ated on in emer­gency and under­went myo­car­dial revas­cu­lar­iza­tion and sep­arate replace­ment of the ­aortic ­valve and the ­ascending ­aorta. In ­this spe­cific ­case of cor­o­nary dis­sec­tion and ­severe ­aortic regur­gi­ta­tion it is man­da­tory to per­form sur­gery in emer­gency to ­limit infarc­tion evo­lu­tion and ­avert ­loss of ­life.

top of page

Publication History

Cite this article as

Corresponding author e-mail