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Left-ventricular aneurysm in a young male due to spontaneous coronary artery dissection
1Department of Thoracic and Cardiovascular Surgery, Hacettepe University Medical Faculty, Ankara, Turkey.
Insights
A rare case of spontaneous coronary artery dissection in a young male led to a left-ventricular aneurysm. Successful surgical repair was achieved, marking the youngest patient reported for this complex condition.
Area of Science:
- Cardiology
- Cardiovascular Surgery
Background:
- Spontaneous Coronary Artery Dissection (SCAD) is a rare condition causing non-traumatic separation of the coronary artery wall.
- Left-ventricular aneurysm (LVA) can be a severe complication of myocardial damage, including that from SCAD.
- Surgical intervention for SCAD with LVA is challenging, especially in younger patients.
Observation:
- A 26-year-old male presented with spontaneous coronary artery dissection.
- The dissection progressed to cause a significant left-ventricular aneurysm.
- This represents the youngest documented case of SCAD complicated by LVA.
Findings:
- The patient underwent successful surgical treatment involving coronary artery bypass grafting using the left internal mammary artery.
- A left-ventricular aneurysmectomy was also performed concurrently.
- This combined surgical approach effectively addressed both the coronary dissection and the resulting aneurysm.
Implications:
- This case highlights the possibility of successful surgical management for SCAD with LVA even in very young patients.
- It expands the understanding of SCAD complications and treatment options.
- The successful outcome suggests that aggressive surgical intervention can be a viable option for selected young patients with this severe presentation.
Abstract:
A case of spontaneous coronary artery dissection in a 26-year-old male with subsequent left-ventricular aneurysm is reported. A coronary bypass operation using left internal mammary artery combined with left-ventricular aneurysmectomy was performed successfully. This is the youngest case in the literature which describes a successful surgical treatment for a spontaneous coronary artery dissection with left-ventricular aneurysm.