title: [Spontaneous dissection of the coronary arteries: a rare cardiologic diagnosis].
abstract: A 55-year-old woman who was admitted to hospital with acute chest pain as a case of emergency suffered from an acute anteroseptal myocardial infarction. Four weeks later coronary angiography revealed a long dissection of the left anterior descending artery (LAD) as well as a significant stenosis of the left main and the proximal circumflex. Cardiovascular surgery was done subsequently. In addition to myocardial revascularization using coronary artery bypass grafts a readaptation of the dissecting artery walls and a proximal ligation of the LAD before anastomosis were performed. Clinical data, pathogenesis, and indications for medical and surgical treatment of spontaneous artery dissection are presented.
authors.affiliation: Abteilung für Herz- und Gefässchirurgie, Robert-Bosch-Krankenhaus, Stuttgart.
authors.forename: P
authors.initials: P
authors.lastname: Lemke
authors.forename: M
authors.initials: M
authors.lastname: Schwab
authors.forename: B
authors.initials: B
authors.lastname: Urbanyi
authors.forename: K
authors.initials: K
authors.lastname: Hellberg
mesh_terms: D000784:Aortic Dissection / Q000000981:diagnostic imaging* / Q000601:surgery; D003323:Coronary Aneurysm / Q000000981:diagnostic imaging* / Q000601:surgery; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D005260:Female; D006801:Humans; D008875:Middle Aged; D009203:Myocardial Infarction / Q000000981:diagnostic imaging* / Q000601:surgery; D012422:Rupture, Spontaneous; D014680:Veins / Q000637:transplantation