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Ann Thorac Surg 1990;50:663-664
© 1990 The Society of Thoracic Surgeons

Articles

Polytetrafluoroethylene graft for spontaneous coronary dissection: 7-year follow-up

Jock N. McCullough, MD, Ronald M. Abel, MD*, Hector Rubenstein, MD

Division of Cardiothoracic Surgery, Newark Beth Israel Medical Center, and the Department of Surgery, UMD-New Jersey Medical School, Newark, New Jersey USA

Accepted for publication April 23, 1990.

* Address reprint requests to Dr Abel, Division of Cardiothoracic Surgery, Newark Beth Israel Medical Center, 201 Lyons Ave, Newark, NJ 07112.

Spontaneous coronary artery dissection remains an exceedingly rare cause of myocardial ischemia. The patients are usually young and female, and the dissection is frequently fatal. The use of polytetrafluoroethylene as an aortocoronary conduit is generally followed by early occlusion. We report a case of spontaneous right coronary dissection in which a polytetrafluoroethylene graft was placed that was observed to remain patent by angiography at least 72 months after operation.




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