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Emergency operation for spontaneous coronary artery dissection in young female
Yukitoshi Shirakawa1, Goro Matsumiya, Shigeaki Ohtake
1Division of Cardiovascular Surgery, Department of Surgery, Osaka University Graduate School of Medicine, Osaka, Japan. shira@surg1.med.osaka-u.ac.jp
Insights
Emergency surgery using a composite graft successfully treated a woman
Area of Science:
- Cardiology
- Vascular Surgery
Background:
- Spontaneous coronary artery dissection (SCAD) is a rare but serious condition.
- SCAD can lead to myocardial infarction (heart attack) or sudden cardiac death.
Observation:
- A 46-year-old woman presented with impending myocardial infarction.
- The cause was spontaneous dissection of the right coronary artery.
Findings:
- Emergency coronary artery bypass grafting (CABG) was performed.
- A composite graft combining the right internal thoracic artery and radial artery was utilized.
- The procedure was successful in treating the patient.
Implications:
- This case highlights the successful use of a composite graft in managing SCAD.
- Timely diagnosis and intervention are crucial for patients with SCAD.
- This approach may be a viable option for complex coronary artery dissections.
Abstract:
Emergency coronary artery bypass grafting using a composite graft of the right internal thoracic artery and the radial artery was successfully performed for impending myocardial infarction secondary to spontaneous dissection of the right coronary artery in a 46-year-old woman. As spontaneous coronary artery dissection frequently presents as myocardial infarction or sudden death, timely diagnosis and intervention are required.