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Ann Thorac Surg 2009;87:1298. doi:10.1016/j.athoracsur.2008.07.060
© 2009 The Society of Thoracic Surgeons

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Images in Cardiothoracic Surgery

Pulsatile Coronary Artery Luminal Compression Caused by Aortic Dissection

Satoshi Ohki, MD*, Yukinori Moriyama, MD, Naoyuki Sata, MD, Kenkichi Miyahara, MD

Divisions of Cardiovascular Surgery and Cardiology, Shinkyo Hospital, Kagoshima, Japan

* Address correspondence to Dr Ohki, Division of Cardiovascular Surgery, Shinkyo Hospital, 3-41-1 Usuki, Kagoshima, 890-0073, Japan (Email: ooki-ths@umin.ac.jp).

The first 20% of the full text of this article appears below.

A 57-year-old woman was transferred to our hospital with acute onset of severe chest pain. The electrocardiogram showed features of acute anteroseptal myocardial ischemia. Echocardiography showed severe left ventricular hypokinesia with an ejection fraction of less than 0.45. Emergency coronary angiogram demonstrated pulsatile luminal compression of the proximal left anterior descending artery with no ostial occlusion. . . . [Full Text of this Article]







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Copyright © 2009 by The Society of Thoracic Surgeons.