Coronary artery dissection, both spontaneous and catheter-induced, is asso ciated with a significant morbidity and mortality. The authors present a case of a middle-aged woman with spontaneous right coronary artery dissection caus ing inferior wall myocardial infarction and left coronary artery dissection at the time of coronary arteriography. It is suggested that emergency aortocoronary bypass surgery be performed preceded by insertion of an intra-aortic balloon in acute evolving cases where coronary anatomy is favorable to limit infarction and avert loss of life.
Get full access to this article
View all access options for this article.
References
1.
Mathieu D., Larde D., Vasila N.: Primary dissecting aneurysms of the coronary arteries: Case report and literature review. Cardiovasc Intervent Radiol7:71-74, 1984.
2.
Morise AP, Hardin NJ, Bovill G., et al: Coronary artery dissection secondary to coronary arteriography: Presentation of three cases and review of the literature. Cathet Cardiovasc Diagn7:283-296, 1981.
3.
Mattfeldt T. , Schwartz F., Kubler W.: Isolated spontaneous coronary artery dissection. A report on the differential diagnosis of coronary heart disease. Klin Worchemscher64:186-193, 1986.
4.
Virmani R., Forman MB, Robinowitz M., et al: Coronary artery dissections. Cardiology Clin2:633-646, 1984.
5.
Smith JC: Dissecting aneurysms of coronary arteries. Arch Pathol99:117-121, 1975.
6.
Meller J., Friedman S., Dack S., et al: Coronary artery dissection—a complication of cardiac catheterization without sequelae: Case report and review of the literature. Cathet Cardiovasc Diagn2:30-308, 1976.
7.
Gibson WG, Reimer KA: Multiple coronary artery dissections in old age. A unique case. Arch Pathol Lab Med104:419-421, 1980.
8.
Ciraulo DA, Chesne RB: Coronary arterial dissection: An unrecognized cause of myocardial infarction with subsequent coronary arterial patency. Chest73:677-679, 1978.
9.
Fournier C., Barrillon A., Magnier S., et al: Extensive aortic dissection and aneurysm of the left coronary trunk: Twenty-year spontaneous development. Arch Mal Coeur71:202-206, 1978.
