[Coronary arterial dissection following selective coronary artery perfusion].
Dissection of the three coronary vessels as a rare fatal complication after intraoperative cannulation is described. A 58-year-old man died from progressive cardiac failure 12 days after mitral and aortic valve replacement. The cause of death was a nearly 12-day-old anteroseptal myocardial infarction as a result of a dissection of all three coronary vessels including the septal arteries. Histologic examination revealed a tear of the left and right coronary artery at their ostia. Thrombi of different age in the dissection and satellite-like recent necroses surrounding the 12-day-old myocardial infarction indicate a gradual progression of the dissection.
D000784:Aortic Dissection / Q000473:pathology*; D001021:Aortic Valve / Q000601:surgery; D003327:Coronary Disease / Q000473:pathology; D003331:Coronary Vessels / Q000293:injuries* / Q000473:pathology; D006324:Heart Arrest, Induced; D006333:Heart Failure / Q000473:pathology; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000601:surgery; D009203:Myocardial Infarction / Q000473:pathology; D009336:Necrosis; D010477:Perfusion
Koronararteriendissektion nach selektiver Koronararterienperfusion.