Spontaneous coronary artery dissection: two different surgical techniques

Bayram Yılmazkaya,

doi:10.5606/tgkdc.dergisi.2011.100

Bayram Yılmazkaya¹, Sami Gürkahraman¹, Ömer Zühtü Yöndem², Mehmet Ali Yükselen², Oğuz Taşdemir¹

¹Departments of Cardiovascular Surgery, Private Akay Hospital, Ankara
²Departments of Anaesthesiology and Reanimation, Private Akay Hospital, Ankara

DOI : 10.5606/tgkdc.dergisi.2011.100

In this article, two different surgical techniques employed in two cases of spontaneous coronary artery dissection are discussed. In the first case, left internal thoracic artery anastomosis (LITA) to left anterior descending artery (LAD) after endarterectomy was performed and in the second case, the dissected LAD layers were repaired and LITA anastomosis was performed. We recommend the use of endarterectomy in the presence of predisposing factors and in vessels inappropriate for bypass or angioplasty.

Keywords : Coronary aneurysm; endarterectomy; spontaneous coronary artery dissection

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