Spontaneous left main coronary artery dissection, possibly due to cystic medial necrosis found in the internal mammary arteries.

Authors

Hitoshi Hirose, Thomas Jefferson UniversityFollow
Iwao Matsunaga, Drexel University College of MedicineFollow
Waqas Anjun, Drexel University College of MedicineFollow
Michael D Strong, Drexel University College of MedicineFollow

Document Type

Article

Publication Date

10-1-2009

Comments

This article has been peer reviewed. It is the authors' final version prior to publication in Interactive Cardiovascular and Thoracic Surgery Volume 9, Issue 4, October 2009, Pages 725-727. The published version is available at DOI: 10.1510/icvts.2009.210989. Copyright © Highwire Press.

Abstract

A 55-year-old male without previous medical history developed chest pain. Coronary catheterization showed left main coronary dissection. Coronary artery bypass grafting was performed using bilateral internal mammary arteries, which were very fragile. The specimens of the internal mammary arteries sent for pathology showed cystic medial necrosis.

Recommended Citation

Hirose, Hitoshi; Matsunaga, Iwao; Anjun, Waqas; and Strong, Michael D, "Spontaneous left main coronary artery dissection, possibly due to cystic medial necrosis found in the internal mammary arteries." (2009). Department of Surgery Faculty Papers. Paper 20.
https://jdc.jefferson.edu/surgeryfp/20

PubMed ID

19602495