Intraoperative coronary artery dissection in fibromuscular dysplasia.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 25841833.
- Also identified by DOI 10.1016/j.athoracsur.2014.06.107.
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Abstract
A 61-year-old woman with bicuspid aortic stenosis, an ascending aortic aneurysm, and a remote history of renal fibromuscular dysplasia underwent aortic root replacement complicated by extensive dissection of the left circumflex artery extending retrograde into the left anterior descending artery. This was managed by coronary artery bypass grafting, left ventricular support, and percutaneous coronary intervention for propagation of the dissection. This case highlights the prevalence, diagnosis, and management of intraoperative coronary dissection secondary to fibromuscular dysplasia.
Medical subject headings
- Aortic Dissection
- Aortic Aneurysm, Thoracic
- Blood Vessel Prosthesis Implantation
- Coronary Aneurysm
- Fibromuscular Dysplasia
- Intraoperative Complications