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Delayed coronary artery dissection after angiography. A case description with successful operative treatment
The Journal of Thoracic and Cardiovascular Surgery
|June 11, 1975
Insights
Coronary artery dissection after angiography is rare but serious. Immediate surgical repair with bypass grafting and ligation proved successful in this case, offering valuable management insights.
Area of Science:
- Cardiology
- Vascular Surgery
- Interventional Cardiology
Background:
- Coronary angiography is a common diagnostic procedure.
- Coronary artery dissection is a rare but potentially life-threatening complication.
- Delayed complications after angiography require careful consideration.
Purpose of the Study:
- To report a case of delayed right coronary artery dissection post-angiography.
- To discuss the surgical management of this specific complication.
- To highlight characteristic features and surgical principles for similar cases.
Main Methods:
- Case report of a patient experiencing coronary artery dissection 48 hours after coronary angiography.
- Description of the surgical intervention performed.
- Review of literature for characteristic pathological entities and management strategies.
Main Results:
- Successful operative treatment achieved through immediate saphenous vein bypass grafting.
- Ligation of the proximal coronary artery was performed as part of the surgical management.
- The patient's outcome suggests the efficacy of the chosen surgical approach.
Conclusions:
- Right coronary artery dissection following angiography necessitates prompt surgical intervention.
- Saphenous vein bypass grafting and proximal artery ligation are effective treatment modalities.
- This case underscores key principles for surgical management of post-angiographic coronary artery dissection.
Abstract:
A patient is described in whom right coronary artery dissection occurred 48 hours after coronary angiography. Successful operative treatment consisted of immediate saphenous vein bypass grafting and ligation of the proximal coronary artery. Several aspects of the case are characteristic of this pathological entity as reported in the literature and suggest principles of surgical management.