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CURRENT ISSUETHE 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 1,632

Frequency: Bi-Monthly

ISSN 0021-9509

Online ISSN 1827-191X

 

The Journal of Cardiovascular Surgery 2002 April;43(2):189-93

CARDIAC SECTION 

    CASE REPORTS

Emergency management of spontaneous coronary artery dissection

Bonacchi M. 1, Prifti E. 1,2, Giunti G. 1, Frati G. 2, Leacche M. 2, Brancaccio G. 1, Sani G. 1

From ­the
1 Chair of Cardiac Surgery University ­of Florence, Florence, Italy
2 ­IRCCS Neuromed, Pozzilli, Isernia, Italy

Six cas­es of spon­ta­ne­ous cor­o­nary arter­ies dis­sec­tion ­are report­ed. In ­one ­patient, ­triple ves­sel spon­ta­ne­ous cor­o­nary ­artery dis­sec­tion ­was iden­ti­fied. Another ­patient pre­sent­ed spon­ta­ne­ous ­left ­main cor­o­nary ­artery dis­sec­tion. In ­one ­case we ­found ­the spon­ta­ne­ous dis­sec­tion of ­the ­left ante­ri­or descend­ing ­artery asso­ciat­ed ­with dis­tal aor­tic ­arch dis­sec­tion. These con­di­tions ­are ­very ­rare ­and ­may ­present a sur­gi­cal dilem­ma. Causative fac­tors ­and under­ly­ing pathol­o­gy ­are clar­i­fied. Prompt diag­no­sis ­and sur­gi­cal inter­ven­tion is ­safe ­and effec­tive. Early rec­og­ni­tion of ­left ­main cor­o­nary ­artery dis­sec­tion or ­three-ves­sel dis­sec­tion is essen­tial ­because ­urgent cor­o­nary ­artery ­bypass graft­ing ­may be ­life sav­ing.

language: English


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