A Case of Primary Dissecting Aneurysm of the Coronary Artery

Junichi SADOSHIMA; Yutaka NAKASHIMA; Yuji TAIRA; Samon KOYANAGI; Akira TAKESHITA; Kenzo TANAKA; Motoomi NAKAMURA

doi:10.1536/ihj.28.799

Junichi SADOSHIMA, Yutaka NAKASHIMA, Yuji TAIRA, Samon KOYANAGI, Akira TAKESHITA, Kenzo TANAKA, Motoomi NAKAMURA

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Keywords: Primary dissecting aneurysm, Coronary artery, Spontaneous healing, Coronary spasm

JOURNAL FREE ACCESS

1987 Volume 28 Issue 5 Pages 799-804

DOI https://doi.org/10.1536/ihj.28.799

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Abstract

A 37-year-old woman was admitted with an acute anterior myocardial infarction. Coronary arteriography revealed a dissecting aneurysm of the left main coronary artery. The patient died from perioperative myocardial infarction following aortocoronary bypass surgery on the 102nd hospital day. Histologic sections of the aneurysm revealed that granulation tissue had replaced the aneurysm, suggesting spontaneous healing of the dissecting aneurysm.

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