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The Annals of Thoracic Surgery, Vol 50, 653-655, Copyright © 1990 by The Society of Thoracic Surgeons

ARTICLES

Cystic medionecrosis of the coronary arteries and fatal coronary vasospasm

GH Segal, NB Ratliff and DM Cosgrove
Department of Pathology, Cleveland Clinic Foundation, Ohio.

The histopathological basis of coronary vasospasm is not well defined. We report a patient with directly observed coronary artery spasm in whom cystic medionecrosis of the coronary arteries and great vessels and myxomatous degeneration of the mitral valve were evident. We suggest that myxoid connective tissue lesions of the heart may be linked to coronary vasospasm.




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Copyright © 1990 by The Society of Thoracic Surgeons.