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Ann Thorac Surg 2002;74:236-237
© 2002 The Society of Thoracic Surgeons

Case report

Traumatic coronary artery dissection

Hideyuki Harada, MD*a, Yukiko Honma, MDa, Yoshikazu Hachiro, MDa, Tohru Mawatari, MDa, Tomio Abe, MDb

a Department of Thoracic and Cardiovascular Surgery, Hokkaido Prefectural Kushiro Hospital, Kushiro, Japan
b Department of Thoracic and Cardiovascular Surgery, Sapporo Medical University School of Medicine, Sapporo, Japan

Accepted for publication October 25, 2001.

* Address reprint requests to Dr Harada, Department of Thoracic and Cardiovascular Surgery, Hokkaido Prefectural Kushiro Hospital, 1-4-26 Sakuragaoka, Kushiro-shi, Hokkaido 085-0805, Japan
e-mail: hideyuki.harada{at}pref.hokkaido.jp

A 14-year-old boy sustained blunt chest trauma resulting in dissection of the left main coronary artery, postinfarction left ventricular aneurysm, mitral regurgitation, and tricuspid regurgitation. He underwent pericardial patch angioplasty of the left main coronary artery, left ventricular aneurysmectomy, mitral valvuloplasty, and tricuspid annuloplasty. The patient continues to do well 4 years after operation.




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