Retrograde dissection of the left main coronary artery after endarterectomy: a rare complication.
The case of a 72-year-old woman who died after bypass grafting and endarterectomy of the left anterior descending coronary artery is described. At autopsy a large intramural dissection of the left anterior descending artery that extended proximally to the left main ostium from the endarterectomy site was found. The dissection was associated with clotting of the false lumen and of the graft, and with a myocardial infarct that precipitated this woman's intraoperative death.
Boyd
W D
WD
University of Ottawa Heart Institute, Ottawa Civic Hospital, Ontario, Canada.
Keon
W J
WJ
Carlier
M T
MT
Walley
V M
VM
D000368:Aged; D000784:Aortic Dissection / Q000209:etiology* / Q000473:pathology; D003323:Coronary Aneurysm / Q000209:etiology* / Q000473:pathology; D003331:Coronary Vessels / Q000473:pathology / Q000601:surgery*; D004691:Endarterectomy / Q000009:adverse effects*; D005260:Female; D006801:Humans