Abstract
Despite the fact that atherosclerosis is the most common cause of ischemic heart disease, other pathological conditions can also lead to it. One of them is spontaneous coronary artery dissection, which is a dissection of a coronary artery that develops without any prior cause. Formation of intramural hematoma narrowing a lumen of a coronary artery and formation of a false lumen are the main pathogenetic factors of spontaneous dissection. Clinical manifestations can be absent in some cases, while in others presented with acute myocardial infarctions or life-threatening arrhythmias. This clinical case provides an example of a successful surgical treatment of spontaneous coronary artery dissection which led to an acute myocardial infarction complicated by thrombosed left ventricular aneurysm in a young male patient. The patient underwent a surgical thrombectomy, geometric reconstruction of left ventricular aneurism and left anterior descending artery bypass grafting.
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About the authors
- Leo A. Bockeria, Academican of Russian Academy of Sciences and Russian Academy of Medical Sciences, President of the Center; ORCID
- Merab K. Sanakoev, Cand. Med. Sci., Cardiovascular Surgeon, Researcher; ORCID
- Zalina F. Kudzoeva, Cand. Med. Sci., Cardiologist
- Mariya O. Konshina, Resident
- Lasha D. Shengeliya, Cand. Med. Sci., Cardiovascular Surgeon, Researcher; ORCID
