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Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA
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Coexistence of Spontaneous Coronary Artery Dissection and Ascending Aortic Aneurysm

Daniel García-Arribas1, Fernando Macaya1, Isidre Vilacosta1

  • 1Instituto Cardiovascular, Hospital Clínico San Carlos, Madrid, Spain; Instituto de Investigación Sanitaria San Carlos (IdISSC), Madrid, Spain; Universidad Complutense, Madrid, Spain.

The Annals of Thoracic Surgery
|March 25, 2019
PubMed

Insights

Spontaneous coronary artery dissection, a rare condition, can occur with aortic aneurysms. Clinicians should consider associated vascular disorders when managing these patients.

Area of Science:

  • Cardiology
  • Vascular Surgery
  • Genetics

Background:

  • Spontaneous coronary artery dissection (SCAD) is a rare but serious condition.
  • SCAD is often associated with various vascular disorders.
  • Ascending aortic aneurysms are a significant cardiovascular condition.

Observation:

  • This report details the management of two patients with SCAD and unruptured ascending aortic aneurysms.
  • The patients presented with distinct clinical scenarios requiring tailored management strategies.

Findings:

  • The coexistence of SCAD and ascending aortic aneurysms presents unique diagnostic and therapeutic challenges.
  • Successful management involved a multidisciplinary approach, integrating cardiology and cardiothoracic surgery expertise.

Implications:

  • Clinicians should maintain a high index of suspicion for SCAD in patients with aortic aneurysms.
  • Considering extracoronary vascular disorders is crucial for comprehensive patient assessment and treatment planning.
  • This case series highlights the importance of recognizing the potential link between SCAD and aortic pathology.

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