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Eur J Cardiothorac Surg 2009;36:767. doi:10.1016/j.ejcts.2009.05.008
Copyright © 2009, European Association for Cardio-thoracic Surgery. Published by Elsevier. All rights reserved.
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Images in cardio-thoracic surgery

Spontaneous coronary dissection due to isolated eosinophilic arteritis as a cause of urgent heart transplantation

Fabrizio Ceresa*, Fabrizio Sansone, Matteo Attisani, Mauro Rinaldi

Division of Cardiac Surgery, San Giovanni Battista Hospital, C.so Bramante 88, 10127 Turin, Italy

Received 28 January 2009; received in revised form 28 April 2009; accepted 5 May 2009.

* Corresponding author. Fax: +39 0116335509. (Email: ceresa77{at}hotmail.com).

Key Words: Spontaneous coronary dissection • Eosinophilic arteritis • Heart transplantation

Spontaneous coronary dissection due to isolated eosinophilic arteritis (Figs. 1 and 2 ) has been rarely described. A young woman, without previous cardiac events, in shock for acute myocardial infarction (unsuccessfully treated with coronary artery bypass grafting (CABG)) for approximately 6 h, underwent heart transplantation after 2 days of biventricular support (because of the impossibility of extracorporeal circulation (ECC) weaning after CABG).


Figure 1
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  		Fig. 1. (A) Section of the left anterior descending (LAD) artery shows haematoma of the tunica media which occludes the lumen. The inflammation of the surrounding tissues has a predominant presence of eosinophils (hematoxylin–eosin). (B) Angiography shows coronary artery dissection both of left main trunk both of LAD.

 

Figure 2
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  		Fig. 2. (A) Section of the right coronary artery shows wall dissection with haematoma of the media. The present case is a very rare report of multiple and simultaneous coronary arteries dissection due to isolated eosinophilic arteritis. (B) Angiography shows right coronary artery dissection.

 





This Article
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Right arrow Email this article to a friend
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Fabrizio Sansone
Mauro Rinaldi
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Right arrow Articles by Ceresa, F.
Right arrow Articles by Rinaldi, M.
PubMed
Right arrow Articles by Ceresa, F.
Right arrow Articles by Rinaldi, M.
Related Collections
Right arrow Cardiac - other
Right arrow Myocardial infarction

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