title: Spontaneous Coronary Artery Dissection after Minimally Invasive Mitral Valve Repair.
abstract: Spontaneous coronary artery dissection is a rare condition usually encountered in young women without risk factors for atherosclerotic disease but with tortuous coronary artery or contemporary presence of fibromuscular dysplasia. Sometimes spontaneous coronary dissection occurs in patients with atherosclerotic disease, although without significant epicardial coronary artery stenosis. We report a case of a patient who underwent minimally invasive mitral valve repair, whose initially uneventful postoperative course was complicated by spontaneous coronary artery dissection of the left main causing a life threatening condition. A subsequent emergency sternotomy was required to perform a coronary artery bypass.
authors: Department of Cardiac Surgery, Santissima Annunziata Hospital, Sassari, Italy.
authors: Mirko
authors: M
authors: Muretti
authors: Department of Cardiac Surgery, Santissima Annunziata Hospital, Sassari, Italy.
authors: Mario
authors: M
authors: Manca
authors: Department of Cardiac Surgery, Santissima Annunziata Hospital, Sassari, Italy.
authors: Francesco
authors: F
authors: Massi
authors: Department of Cardiac Surgery, Santissima Annunziata Hospital, Sassari, Italy.
authors: Michele
authors: M
authors: Portoghese
mesh_terms: D000368:Aged; D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D001026:Coronary Artery Bypass; D003330:Coronary Vessel Anomalies / Q000209:etiology* / Q000601:surgery; D005260:Female; D006801:Humans; D019060:Minimally Invasive Surgical Procedures / Q000009:adverse effects; D008943:Mitral Valve / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000601:surgery*; D011183:Postoperative Complications; D014652:Vascular Diseases / Q000151:congenital* / Q000209:etiology / Q000601:surgery