Spontaneous Left Main Coronary Artery Dissection Treated by Emergency Coronary Artery Bypass Grafting
10.4326/jjcvs.39.314
- VernacularTitle:左冠動脈主幹部への特発性冠動脈解離に対する緊急冠動脈バイパス術
- Author:
Hajime Osawa
;
Toshihiro Fujimatsu
;
Fumie Takai
;
Hiroyuki Suzuki
- Publication Type:Journal Article
- Keywords:
spontaneous coronary artery dissection;
coronary artery bypass grafting (CABG);
left main coronary artery;
acute myocardiol infarction
- From:Japanese Journal of Cardiovascular Surgery
2010;39(6):314-317
- CountryJapan
- Language:Japanese
-
Abstract:
Spontaneous coronary artery dissection is a rare but often fatal cause of acute myocardial ischemia that occurs in young or middle-aged and otherwise healthy patients. We report a case of spontaneous left main coronary artery dissection in a young woman who was treated with emergency coronary artery bypass grafting. She improved after surgery but required a long recuperative period because of her cardiac failure and multiple organ failure, developed expiring on the 78th postoperative day. Spontaneous coronary artery dissection is unpredictable, and sudden death is the usual mode of clinical presentation. Prompt diagnosis and coronary artery revascularization are essential in order to achieve a favorable outcome in such cases.
