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Eur J Cardiothorac Surg 2002;22:470-471
© 2002 Elsevier Science NL

Case report

Spontaneous rupture of coronary artery

Naotaka Motoyoshia*, Tsunehiro Komatsua, Yoshimasa Moizumia, Kohichi Tabayashib

a Department of Thoracic and Cardiovascular Surgery, Sendai City Medical Center, 22-1, Tsurugaya 5-choume, Miyagino-ward, Sendai 983-0824, Japan
b Department of Cardiovascular Surgery, Tohoku University Hospital, Sendai, Japan

Received 20 December 2001; received in revised form 7 April 2002; accepted 24 April 2002.

* Corresponding author. Tel.: +81-22-252-1111; fax: +81-22-252-9431
e-mail: naotaka5{at}hotmail.com

We report a case of spontaneous coronary artery rupture (SCAR) 3 months after descending aortic replacement. Cardiac tamponade was confirmed at first by using echocardiography following emergency pericardial centesis. The patient was denied aortic dissection by computed tomography, thereafter diagnosed as SCAR with selective angiography, which revealed a leakage from the left circumflex branch. The patient underwent successful rupture site isolation by bilateral ligation and distal revascularization with aortocoronary bypass with saphenous vein graft.

Key Words: Spontaneous rupture • Coronary artery




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Copyright © 2002 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.