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Intimal Detachment of the Left Main Coronary Artery in a Marfan Patient with Acute Aortic Dissection: An Alternative Technique for Coronary Revascularization
Author(s) -
Song Joon Young,
Kim Tae Youn,
Choi Jong Bum,
Kuh Ja Hong
Publication year - 2016
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/jocs.12746
Subject(s) - medicine , aortic dissection , cardiology , dissection (medical) , aortic sinus , revascularization , artery , marfan syndrome , surgery , coronary sinus , pseudoaneurysm , complication , aorta , myocardial infarction
Abstract In patients with acute type A aortic dissection, intimal detachment associated with circumferential dissection of the left main coronary artery (LMCA) is a rare but lethal complication. We report a Marfan patient with dissection and intimal detachment of the LMCA that was caused by acute aortic dissection involving the left aortic sinus and that was reconstructed using a short reversed saphenous vein graft. doi: 10.1111/jocs.12746 (J Card Surg 2016;31:348–350)