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Eur J Cardiothorac Surg 2008;34:453. doi:10.1016/j.ejcts.2008.04.041
Copyright © 2008, European Association for Cardio-thoracic Surgery. Published by Elsevier. All rights reserved.
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Images in cardio-thoracic surgery

The large and multiple spontaneous coronary artery dissections of a 54-year-old man

Selahattin Akyola, Mustafa Memduh Basa, Abdussamed Hazarb, Recep Demirbaga,*

a Department of Cardiology, Medical Faculty of Harran University, Sanliurfa, Turkey
b Department of Cardiovascular Surgery, Medical Faculty of Harran University, Sanliurfa, Turkey

Received 6 February 2008; received in revised form 3 April 2008; accepted 23 April 2008.

* Corresponding author. Address: P.K. 112, Sanliurfa, Turkey. Tel.: +90 414 3141170 (1143); fax: +90 414 3151181. (Email: rdemirbag{at}yahoo.com).

Key Words: Spontaneous coronary artery dissection • Bypass surgery

Coronary angiography demonstrated spiral dissection of right coronary artery (RCA) and of proximal and second diagonal branch the left descending coronary artery (LAD) (Figs. 1 and 2 ), and significant obstruction of the proximal segment of LAD. Revascularization was performed with LIMA to LAD and saphenous vein to distal RCA grafts.


Figure 1
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  		Fig. 1. Right coronary artery, LAO projection. Arrows delineate the extent of the spontaneous dissection.

 

Figure 2
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  		Fig. 2. Left coronary artery, RAO cranial projection. White arrows delineate the spontaneous dissection. Black arrow shows occlusion of left anterior descending artery (LAD, left descending coronary artery; LCX, left circumflex coronary artery).

 





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Right arrow Coronary disease

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