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Ann Thorac Surg 2002;74:1248-1250
© 2002 The Society of Thoracic Surgeons

Case report

Extensive coronary dissection treated with endarterectomy and coronary reconstruction

W. Dudley Johnson, MD*a, Tanvir K. Bajwa, MDa, Suhail Q. Allaqaband, MDa, Mary R. Howard, RNa

a Department of Cardiothoracic Surgery and Cardiology, Sinai Samaritan Hospital, Milwaukee, Wisconsin, USA

* Address reprint requests to Dr Johnson, 350 Bishops Way, Suite 202, Brookfield, WI 53005 USA
e-mail: life{at}wdudleyjohnson.com

Acute coronary dissection is an uncommon event, usually not related to typical coronary risk factors, usually in women, and usually diagnosed at autopsy. This report describes a young woman with extensive left anterior descending coronary artery (LAD) dissection, refused for intervention since there was no lesion to angioplasty and no artery to bypass. A long arteriotomy was made, removing under direct vision all of the torn and dissected tissue, just as would be done for extensive LAD endarterectomy. A vein was split and attached to reconstruct the artery. Normal left ventricular function was restored.






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Copyright © 2002 by The Society of Thoracic Surgeons.