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Ann Thorac Surg 1990;50:653-655
© 1990 The Society of Thoracic Surgeons

Articles

Cystic medionecrosis of the coronary arteries and fatal coronary vasospasm

Glenn H. Segal, DO, Norman B. Ratliff, MD*, Delos M. Cosgrove, MD

Departments of Pathology and Cardiovascular and Thoracic Surgery, The Cleveland Clinic Foundation, Cleveland, Ohio USA

Accepted for publication April 10, 1990.

* Address reprint requests to Dr Ratliff, Department of Pathology, The Cleveland Clinic Foundation, 9500 Euclid Ave, Cleveland, OH 44106.

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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