title: Chronic dissecting aneurysm of the isolated coronary artery with hemorrhagic myocardial infarction: a rare complication of cardiac operation in a female with Marfan's syndrome.
abstract: A 37-year-old female with Marfan's syndrome developed myocardial infarction during a cardiac operation for annuloaortic ectasia and chronic dissecting aneurysm of the aorta. At autopsy, a chronic dissecting aneurysm of the left coronary arterial system (the left main stem, anterior descending branch, first diagonal branch, and circumflex branch) showing a true lumen and a pseudo lumen, which were patent, was found. There was also a hemorrhagic myocardial infarction of the anteroseptal wall and apical portion of the left ventricle.
authors.affiliation: Division of Pathology, National Cardiovascular Center, Osaka, Japan.
authors.forename: M
authors.initials: M
authors.lastname: Imakita
authors.forename: C
authors.initials: C
authors.lastname: Yutani
authors.forename: H
authors.initials: H
authors.lastname: Ishibashi-Ueda
authors.forename: M
authors.initials: M
authors.lastname: Ando
authors.forename: N
authors.initials: N
authors.lastname: Nakajima
mesh_terms: D000328:Adult; D000784:Aortic Dissection / Q000209:etiology*; D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D003323:Coronary Aneurysm / Q000209:etiology*; D005260:Female; D006330:Heart Defects, Congenital / Q000601:surgery*; D006801:Humans; D008382:Marfan Syndrome / Q000150:complications*; D009203:Myocardial Infarction / Q000209:etiology*