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.
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.
Imakita
M
M
Division of Pathology, National Cardiovascular Center, Osaka, Japan.
Yutani
C
C
Ishibashi-Ueda
H
H
Ando
M
M
Nakajima
N
N
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*