[Spontaneous coronary artery dissection with left ventricular aneurysm--a case report of successful surgical repair].
Spontaneous coronary artery dissection is a rare entity. To our knowledge, 86 cases have been reported, and there are 7 operative treatment. The patient was 56 year-old male with a history of the previous myocardial infarction. A selective coronary angiography demonstrated marked dilatation of both coronary arteries. The thin radiolucent lines were shown within the LAD and first diagonal branch as a result of partial separation of the intima. A very large left ventricular myocardial aneurysm was also demonstrated within anteroapical walls, he underwent open heart surgery with left ventricular myocardial aneurysmectomy and aorto-first diagonal branch saphenous vein graft. This present case is the second report which describe a successful surgical treatment for the spontaneous coronary artery dissection with left ventricular aneurysm.
Shioi
K
K
Nagata
Y
Y
Saigusa
H
H
Kato
S
S
Asai
T
T
Tsuchioka
H
H
D000784:Aortic Dissection / Q000601:surgery*; D003327:Coronary Disease / Q000150:complications / Q000601:surgery*; D006322:Heart Aneurysm / Q000150:complications / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged