Intraoperative coronary artery dissection in fibromuscular dysplasia

Xiaoying Lou, Sumeet S. Mitter, John E. Blair, Keith Benzuly, Ivancarmine Gambardella, S. Chris Malaisrie*

*Corresponding author for this work

Research output: Contribution to journalArticle

Abstract

A 61-year-old woman with bicuspid aortic stenosis, an ascending aortic aneurysm, and a remote history of renal fibromuscular dysplasia underwent aortic root replacement complicated by extensive dissection of the left circumflex artery extending retrograde into the left anterior descending artery. This was managed by coronary artery bypass grafting, left ventricular support, and percutaneous coronary intervention for propagation of the dissection. This case highlights the prevalence, diagnosis, and management of intraoperative coronary dissection secondary to fibromuscular dysplasia.

Original languageEnglish (US)
Pages (from-to)1442-1444
Number of pages3
JournalAnnals of Thoracic Surgery
Volume99
Issue number4
DOIs
StatePublished - Apr 1 2015

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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