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

Authors

Hitoshi Hirose, Department of Cardiothoracic Surgery, Drexel University College of Medicine; Division of Cardiothoracic Surgery, Department of Surgery, Thomas Jefferson UniversityFollow
Iwao Matsunaga, Department of Cardiothoracic Surgery, Drexel University College of MedicineFollow
Waqas Anjun, Department of Cardiothoracic Surgery, Drexel University College of MedicineFollow
Michael D Strong, Department of Cardiothoracic Surgery, Drexel University College of MedicineFollow

Document Type

Article

Publication Date

10-1-2009

Comments

This is a link to an open access article. This article has been peer reviewed and is published in Interactive Cardiovascular and Thoracic Surgery 2009 Oct;9(4):725-7. The published version is available at DOI: 10.1510/icvts.2009.210989. ©Oxford University 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 54.
https://jdc.jefferson.edu/surgeryfp/54

PubMed ID

19602495