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Ann Thorac Surg 1998;66:258-260
© 1998 The Society of Thoracic Surgeons

Case Reports

Surgical management of spontaneous left main coronary artery dissection

Patricia A. Thistlethwaite, MD, PhDa, Riyad Y. Tarazi, MDa, Frank J. Giordano, MDa, Stuart W. Jamieson, FRCSa

a Division of Cardiothoracic Surgery, University of California, San Diego, San Diego, California, USA

Accepted for publication February 4, 1998.

Address reprint requests to Dr Thistlethwaite, Division of Cardiothoracic Surgery, UCSD Medical Center, 200 W Arbor Dr, Suite 8892, San Diego, CA 92103
e-mail: (pthistlethwaite{at}ucsd.edu)

Two cases of spontaneous left main coronary artery dissectio n are reported. This condition is rare and may present as an urgent surgical dilemma. The presentation, diagnosis, and management of primary left main coronary artery dissection are reviewed. Causative factors and underlying pathology are clarified. Prompt diagnosis and surgical intervention with temporary ventricular support is safe and effective.




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