Open AccessPerforation of the left ventricle during dissection of the intramuscular left anterior descending coronary artery—delayed presentation
Author(s) -
Venkat R. Machiraju,
Dhaval Trivedi
Publication year - 2018
Publication title -
indian journal of thoracic and cardiovascular surgery/indian journal of thoracic and cardiovascular surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.114
H-Index - 9
eISSN - 0973-7723
pISSN - 0970-9134
DOI - 10.1007/s12055-018-0684-5
Subject(s) - medicine , ventricle , cardiac surgery , dissection (medical) , cardiology , surgery , perforation , cardiothoracic surgery , artery , right coronary artery , myocardial infarction , coronary angiography , punching , materials science , metallurgy
Dissecting out a deep intramuscular left anterior descending coronary (LAD) artery during coronary artery revascularization requires surgical experience. Inadvertent entry into the right ventricle had been reported during such dissection previously. However, entry into the left ventricle (LV) has not. Here, we present a case where such an entry occurred and was successfully repaired.The patient presented ten years later with delayed rupture of the LV.