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Amit Korach
Curtis T. Hunter
Harold L. Lazar
Richard J. Shemin
Oz M. Shapira
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Ann Thorac Surg 2006;82:312-314
© 2006 The Society of Thoracic Surgeons


Case report

OPCAB for Acute LAD Dissection Due to Blunt Chest Trauma

Amit Korach, MD, Curtis T. Hunter, MD, Harold L. Lazar, MD, Richard J. Shemin, MD, Oz M. Shapira, MD *

Department of Cardiothoracic Surgery, Boston Medical Center, Boston, Massachusetts

Accepted for publication September 22, 2005.

* Address correspondence to Dr Shapira, Department of Cardiothoracic Surgery, Suite B-402, Boston Medical Center, 88 E Newton St, Boston, MA 02118 (Email: oz.shapira{at}bmc.org).

A 40-year-old male pedestrian was hit by a truck and was admitted with multiple injuries including blunt chest trauma. Electrocardiogram revealed acute anterior ST-segment elevation and myocardial infarction. Coronary angiography demonstrated acute ostial left anterior descending coronary artery dissection. Due to extent and location, the lesion was not amenable for angioplasty. Multiple associated injuries and severely impaired coagulation studies directed us to perform emergency off-pump coronary artery bypass grafting.




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