Spontaneous dissection of the left main coronary artery: a case report and review of the literature

J Card Surg. 1996 Sep-Oct;11(5):371-5. doi: 10.1111/j.1540-8191.1996.tb00066.x.


Primary spontaneous coronary artery dissection is an unusual occurrence. There have been less than 150 cases reported in world literature. This process frequently occurs in relatively young women, particularly in the peripartum or early postpartum period. This article reports the clinical course of one patient with primary spontaneous left main coronary artery dissection who was treated with coronary artery bypass grafting. To our knowledge, it is the second case to be treated with the use of left internal mammary artery.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Aortic Dissection / complications
  • Aortic Dissection / surgery*
  • Cineangiography
  • Coronary Aneurysm / complications
  • Coronary Aneurysm / surgery*
  • Coronary Artery Bypass
  • Female
  • Humans
  • Myocardial Infarction / etiology
  • Myocardial Revascularization
  • Saphenous Vein / transplantation
  • Surgical Flaps / methods