Surgical management of spontaneous left main coronary artery dissection.
Two cases of spontaneous left main coronary artery dissection are reported. This condition is rare and may present as an urgent surgical dilemma. The presentation, diagnosis, and management of primary left main coronary artery dissection are reviewed. Causative factors and underlying pathology are clarified. Prompt diagnosis and surgical intervention with temporary ventricular support is safe and effective.
Division of Cardiothoracic Surgery, University of California, San Diego, USA. pthistlethwaite@ucsd.edu
P A
PA
Thistlethwaite
R Y
RY
Tarazi
F J
FJ
Giordano
S W
SW
Jamieson
D000293:Adolescent; D000328:Adult; D000714:Anastomosis, Surgical; D000784:Aortic Dissection / Q000175:diagnosis / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D003323:Coronary Aneurysm / Q000175:diagnosis / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D001026:Coronary Artery Bypass; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D012501:Saphenous Vein / Q000637:transplantation; D013895:Thoracic Arteries / Q000637:transplantation