[Spontaneous dissection of the left main coronary artery. Case report]

The case report of a 59 years old woman present with spontaneous dissection of the left main coronary artery including origins of its major branches is described here. The patient had emergency surgery and a triple ACEG was performed. The postoperative course was uneventful and a control angiogram proved both complete graft patency and absence of previous dissection. Six months following surgery the patient is doing well except for a minor effort dyspnea. The available literary experience with this rare and potentially fatal coronary condition is discussed in comments.