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Ann Thorac Surg 1990;49:469-470
© 1990 The Society of Thoracic Surgeons

Articles

Dissection of the left main coronary artery: Diagnosis by angioscopy

D. Richens, FRCS*, A. Renzulli, MD, C.J. Hilton, FRCS

Regional Cardiothoracic Centre, Freeman Hospital, Newcastle, England

Accepted for publication August 14, 1989.

* Address reprint requests to Mr Richens, Regional Cardiothoracic Centre, Freeman Hospital, Freeman Road, Newcastle upon Tyne, NE7 7 DN, England.

A 58-year-old woman with mitral valve disease was investigated with cardiac catheterization. At catheterization, a suspected dissection of the left main coronary artery occurred. This diagnosis was confirmed at urgent operation by intraoperative angioscopy. The patient underwent mitral valve replacement and coronary artery bypass grafting and made a good postoperative recovery. Coronary angioscopy at operation provides a useful means of diagnosing pathology in the left main coronary artery.






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