Beating heart myocardial revascularisation of a sudden cardiac death survivor with spontaneous coronary artery dissection: pitfalls from diagnosis to surgery.
Spontaneous coronary artery dissection is a rare clinical condition with a wide range of clinical presentations ranging from asymptomatic cases to life-threatening ventricular arrhythmias and sudden cardiac death. The exact pathophysiological mechanism has not been fully established yet. We would like to present a survivor of sudden cardiac death presenting with ventricular fibrillation due to spontaneous coronary artery dissection. The prompt evaluation, medical management, surgical myocardial revascularisation and value of off-pump coronary artery bypass surgery are discussed.
Department of Cardiovascular Surgery, Medikar Hospital, Karabuk, Turkey.
Erdem
E
Cetin
Department of Cardiovascular Surgery, Medipol University, Istanbul, Turkey.
Arda
A
Ozyuksel
D000328:Adult; D006328:Cardiac Catheterization / Q000379:methods; D002315:Cardiopulmonary Bypass / Q000379:methods*; D017023:Coronary Angiography / Q000379:methods; D001026:Coronary Artery Bypass / Q000379:methods*; D003330:Coronary Vessel Anomalies / Q000175:diagnosis / Q000601:surgery*; D016757:Death, Sudden, Cardiac; D004636:Emergency Service, Hospital; D004638:Emergency Treatment; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D009204:Myocardial Revascularization / Q000379:methods; D018570:Risk Assessment; D016896:Treatment Outcome; D014652:Vascular Diseases / Q000151:congenital* / Q000175:diagnosis / Q000601:surgery