A Surgical Case for Pregnancy-Related Spontaneous Coronary Artery Dissection

Rena Usui; Masato Mutsuga; Tomo Yoshizumi; Hideki Oshima; Akihiko Usui

doi:10.1016/j.athoracsur.2021.04.023

A Surgical Case for Pregnancy-Related Spontaneous Coronary Artery Dissection

Rena Usui
, Masato Mutsuga
, Tomo Yoshizumi
, Hideki Oshima
, Akihiko Usui

Research output: Contribution to journal › Article › peer-review

Abstract

The efficacy of coronary artery bypass grafting for pregnancy-related spontaneous coronary artery dissection (SCAD) is controversial, as graft occlusion due to SCAD lesion healing has been reported. Only 24 grafts in 14 cases of coronary artery bypass grafting for SCAD have been reported: 8 of the 9 arterial grafts were occluded, but 9 of the 15 vein grafts were patent. We encountered a case of coronary artery bypass grafting with left internal thoracic artery to the left antero-descending branch due to pregnancy-related SCAD. The patient's graft revealed good patency immediately postoperatively but string signs 7 months later due to healing of SCAD lesions.

Original language	English
Pages (from-to)	e115-e117
Journal	Annals of Thoracic Surgery
Volume	113
Issue number	2
DOIs	https://doi.org/10.1016/j.athoracsur.2021.04.023
Publication status	Published - 02-2022
Externally published	Yes

All Science Journal Classification (ASJC) codes

Surgery
Pulmonary and Respiratory Medicine
Cardiology and Cardiovascular Medicine

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10.1016/j.athoracsur.2021.04.023

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title = "A Surgical Case for Pregnancy-Related Spontaneous Coronary Artery Dissection",

abstract = "The efficacy of coronary artery bypass grafting for pregnancy-related spontaneous coronary artery dissection (SCAD) is controversial, as graft occlusion due to SCAD lesion healing has been reported. Only 24 grafts in 14 cases of coronary artery bypass grafting for SCAD have been reported: 8 of the 9 arterial grafts were occluded, but 9 of the 15 vein grafts were patent. We encountered a case of coronary artery bypass grafting with left internal thoracic artery to the left antero-descending branch due to pregnancy-related SCAD. The patient's graft revealed good patency immediately postoperatively but string signs 7 months later due to healing of SCAD lesions.",

author = "Rena Usui and Masato Mutsuga and Tomo Yoshizumi and Hideki Oshima and Akihiko Usui",

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AU - Oshima, Hideki

AU - Usui, Akihiko

PY - 2022/2

Y1 - 2022/2

N2 - The efficacy of coronary artery bypass grafting for pregnancy-related spontaneous coronary artery dissection (SCAD) is controversial, as graft occlusion due to SCAD lesion healing has been reported. Only 24 grafts in 14 cases of coronary artery bypass grafting for SCAD have been reported: 8 of the 9 arterial grafts were occluded, but 9 of the 15 vein grafts were patent. We encountered a case of coronary artery bypass grafting with left internal thoracic artery to the left antero-descending branch due to pregnancy-related SCAD. The patient's graft revealed good patency immediately postoperatively but string signs 7 months later due to healing of SCAD lesions.

AB - The efficacy of coronary artery bypass grafting for pregnancy-related spontaneous coronary artery dissection (SCAD) is controversial, as graft occlusion due to SCAD lesion healing has been reported. Only 24 grafts in 14 cases of coronary artery bypass grafting for SCAD have been reported: 8 of the 9 arterial grafts were occluded, but 9 of the 15 vein grafts were patent. We encountered a case of coronary artery bypass grafting with left internal thoracic artery to the left antero-descending branch due to pregnancy-related SCAD. The patient's graft revealed good patency immediately postoperatively but string signs 7 months later due to healing of SCAD lesions.

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A Surgical Case for Pregnancy-Related Spontaneous Coronary Artery Dissection

Abstract

All Science Journal Classification (ASJC) codes

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