ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Spontaneous coronary artery dissection: two different surgical techniques
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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