Vol 69, No 9 (2011)
Angiogram miesiąca
Published online: 2011-09-19
Acute coronary syndrome secondary to spontaneous dissection of left internal mammary artery by-pass graft nine years after surgery
DOI: 10.33963/v.kp.79189
Kardiol Pol 2011;69(9):970-972.
Abstract
Spontaneous left internal mammary artery (LIMA) dissection is an extremely rare condition. It generally occurs as a complication
of interventional manipulation in the early post-operative period. Here we present a case of spontaneous LIMA dissection
nine years after surgery seemed to be chronic deforming jetflow secondary to kinking segment of LIMA. Kinking of LIMA
usually occurs in the intraoperative period during harvesting of LIMA, and usually gives symptoms in the early post-operative
period. Such a time delay for the progression of spontaneous dissection has not previously been reported.
Kardiol Pol 2011; 69, 9: 970–972
Kardiol Pol 2011; 69, 9: 970–972
Keywords: spontaneous dissectionleft internal mammary artery