title: Extensive coronary dissection treated with endarterectomy and coronary reconstruction.
abstract: Acute coronary dissection is an uncommon event, usually not related to typical coronary risk factors, usually in women, and usually diagnosed at autopsy. This report describes a young woman with extensive left anterior descending coronary artery (LAD) dissection, refused for intervention since there was no lesion to angioplasty and no artery to bypass. A long arteriotomy was made, removing under direct vision all of the torn and dissected tissue, just as would be done for extensive LAD endarterectomy. A vein was split and attached to reconstruct the artery. Normal left ventricular function was restored.
authors.affiliation: Department of Cardiothoracic Surgery and Cardiology, Sinai Samaritan Hospital, Milwaukee, Wisconsin, USA. life@wdudleyjohnson.com
authors.forename: W Dudley
authors.initials: WD
authors.lastname: Johnson
authors.forename: Tanvir K
authors.initials: TK
authors.lastname: Bajwa
authors.forename: Suhail Q
authors.initials: SQ
authors.lastname: Allaqaband
authors.forename: Mary R
authors.initials: MR
authors.lastname: Howard
mesh_terms: D000328:Adult; D000784:Aortic Dissection / Q000601:surgery*; D003323:Coronary Aneurysm / Q000601:surgery*; D003331:Coronary Vessels / Q000601:surgery*; D004691:Endarterectomy; D005260:Female; D006801:Humans