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Coronary Artery Dissection—A Case Report

Departments of Medicine and Radiology and the Cardiac Catheterization Laboratory, The Likoff Cardiovascular Institute Hahnemann University Hospital, Philadelphia, Pennsylvania

Robert M. MacMillan

Departments of Medicine and Radiology and the Cardiac Catheterization Laboratory, The Likoff Cardiovascular Institute Hahnemann University Hospital, Philadelphia, Pennsylvania

Demetrios Kimbiris

Departments of Medicine and Radiology and the Cardiac Catheterization Laboratory, The Likoff Cardiovascular Institute Hahnemann University Hospital, Philadelphia, Pennsylvania

Coronary artery dissection, both spontaneous and catheter-induced, is asso ciated with a significant morbidity and mortality. The authors present a case of a middle-aged woman with spontaneous right coronary artery dissection caus ing inferior wall myocardial infarction and left coronary artery dissection at the time of coronary arteriography. It is suggested that emergency aortocoronary bypass surgery be performed preceded by insertion of an intra-aortic balloon in acute evolving cases where coronary anatomy is favorable to limit infarction and avert loss of life.

Angiology, Vol. 41, No. 10, 884-887 (1990)
DOI: 10.1177/000331979004101011


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