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Ann Thorac Surg 2002;73:1324-1326
© 2002 The Society of Thoracic Surgeons

Case report

Spontaneous coronary artery dissection presenting as cardiac tamponade

Balaji Badmanaban, FRCS*a, David McCarty, MRCPb, Damian J. Mole, MB, ChBa, Pascal P. McKeown, FRCPb, Mazin A.I. Sarsam, FRCS (CTh)a

a Department of Cardiac Surgery, Royal Victoria Hospital, Belfast, Northern Ireland
b Regional Medical Cardiology Centre, Royal Victoria Hospital, Belfast, Northern Ireland

Accepted for publication August 2, 2001.

* Address reprint requests to Dr Badmanaban, Department of Cardiac Surgery, Royal Victoria Hospital, Grosvenor Rd, Belfast BT12 6BA, Northern Ireland
e-mail: balaji{at}talk21.com

Spontaneous dissection of the left main coronary artery is the least common of all dissections involving the coronary arteries. It usually occurs in young women, especially in the peripartum or early postpartum period. We describe the case of a 59-year-old man with no previous history of atherosclerotic heart disease who presented in cardiac tamponade and was found to have a spontaneous left main stem coronary artery dissection at cardiac catheterization. Emergency revascularization was carried out with the patient remaining symptom-free 4 months after surgery.




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