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Surgical Management of Instrumentation‐Induced Coronary Artery Dissection
Author(s) -
Robicsek Francis,
Bersin Robert M.,
Kowalchuk Glen,
Kollar Andras
Publication year - 1995
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/j.1540-8191.1995.tb00652.x
Subject(s) - medicine , artery dissection , instrumentation (computer programming) , dissection (medical) , artery , cardiology , surgery , coronary angiography , myocardial infarction , computer science , operating system
A bstract The mechanism of instrument‐induced coronary artery dissections (IICDs) is briefly presented. Depending on the coronary anatomy, three different situtaions that may occur are distinguished: (1) major coronary branches between the site of dissection and planned anastomosis; (2) no important collaterals at the same location; and (3) perforation of the coronary artery. Surgical methods applicable to each for the correction of these situations is presented.