Intraoperative coronary artery dissection in fibromuscular dysplasia
Review
Overview
MeSH Major
Aneurysm, Dissecting
Aortic Aneurysm, Thoracic
Blood Vessel Prosthesis Implantation
Coronary Aneurysm
Fibromuscular Dysplasia
Intraoperative Complications
abstract
A 61-year-old woman with bicuspid aortic stenosis, an ascending aortic aneurysm, and a remote history of renal fibromuscular dysplasia underwent aortic root replacement complicated by extensive dissection of the left circumflex artery extending retrograde into the left anterior descending artery. This was managed by coronary artery bypass grafting, left ventricular support, and percutaneous coronary intervention for propagation of the dissection. This case highlights the prevalence, diagnosis, and management of intraoperative coronary dissection secondary to fibromuscular dysplasia.
