Extensive coronary dissection treated with endarterectomy and coronary reconstruction

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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. © 2002 by The Society of Thoracic Surgeons.




Johnson, W. D., Bajwa, T. K., Allaqaband, S. Q., & Howard, M. R. (2002). Extensive coronary dissection treated with endarterectomy and coronary reconstruction. In Annals of Thoracic Surgery (Vol. 74, pp. 1248–1250). https://doi.org/10.1016/S0003-4975(02)03861-4

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