Spontaneous Coronary Artery Dissection after Minimally Invasive Mitral Valve Repair

Authors

  • Mirko Muretti Department of Cardiac Surgery, Santissima Annunziata Hospital, Sassari
  • Mario Manca Department of Cardiac Surgery, Santissima Annunziata Hospital, Sassari
  • Francesco Massi Department of Cardiac Surgery, Santissima Annunziata Hospital, Sassari
  • Michele Portoghese Department of Cardiac Surgery, Santissima Annunziata Hospital, Sassari

DOI:

https://doi.org/10.1532/hsf.1660

Abstract

Spontaneous coronary artery dissection is a rare condition usually encountered in young women without risk factors for atherosclerotic disease but with tortuous coronary artery or contemporary presence of fibromuscular dysplasia. Sometimes spontaneous coronary dissection occurs in patients with atherosclerotic disease, although without significant epicardial coronary artery stenosis. We report a case of a patient who underwent minimally invasive mitral valve repair, whose initially uneventful postoperative course was complicated by spontaneous coronary artery dissection of the left main causing a life threatening condition. A subsequent emergency sternotomy was required to perform a coronary artery bypass.

Author Biography

Mirko Muretti, Department of Cardiac Surgery, Santissima Annunziata Hospital, Sassari

Department of Cardiac Surgery.

References

Alfonso F, Paulo M, Lennie V, et al. 2012. Spontaneous coronary artery dissection: long-term follow-up of a large series of patients prospectively managed with a “conservative” therapeutic strategy. JACC Cardiovasc Interv 5:1062-70.

Alfonso F, Bastante T, Cuesta J, et al. 2015. Spontaneous coronary artery dissection: novel insights on diagnosis and management. Cardiovasc Diagn Ther 5:133-140.

Yip A, Saw J. 2015. Spontaneous coronary artery dissection: a review. Cardiovasc Diagn Ther 5:37-48.

Published

2016-10-31

How to Cite

Muretti, M., Manca, M., Massi, F., & Portoghese, M. (2016). Spontaneous Coronary Artery Dissection after Minimally Invasive Mitral Valve Repair. The Heart Surgery Forum, 19(5), E241-E242. https://doi.org/10.1532/hsf.1660

Issue

Section

Articles

Most read articles by the same author(s)