Surgical management of instrumentation-induced coronary artery dissection.
The mechanism of instrument-induced coronary artery dissections (IICDs) is briefly presented. Depending on the coronary anatomy, three different situations that may occur are distinguished: (1) major coronary branches between the site of dissection and planned anastomosis; (2) no important collaterals at the same location; and (3) perforation of the coronary artery. Surgical methods applicable to each for the correction of these situations is presented.
Robicsek
F
F
Department of Thoracic and Cardiovascular Surgery, Carolinas Heart Institute, Charlotte, North Carolina, USA.
Bersin
R M
RM
Kowalchuk
G
G
Kollar
A
A
D000784:Aortic Dissection / Q000209:etiology / Q000601:surgery*; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects / Q000295:instrumentation; D017225:Atherectomy, Coronary / Q000009:adverse effects / Q000295:instrumentation; D002404:Catheterization / Q000009:adverse effects* / Q000295:instrumentation; D003323:Coronary Aneurysm / Q000209:etiology / Q000601:surgery*; D003331:Coronary Vessels / Q000293:injuries* / Q000601:surgery*; D006801:Humans; D008722:Methods