Successful recognition and percutaneous coronary intervention of delayed severe multiple coronary artery dissection caused by cardiac surgery: a case report.

ABSTRACT:

Background

Multiple coronary artery dissection is rare after cardiac surgery. It is difficult to recognize and is easily misdiagnosed as low output syndrome as a result of cardiopulmonary bypass (CPB).

Case presentation

A 43-year-old woman who had undergone cardiac surgery presented with unstable hemodynamics, and progressively increasing lactate, B-type natriuretic peptide, and cardiac enzyme levels, along with electrocardiogram (ECG) changes. Angiography indicated the presence of severe multiple coronary artery dissection, and 3 stents were implanted, which improved the patient's hemodynamic status and cardiac function.

Conclusions

In the present report, we describe our experience with identifying and treating delayed severe multiple coronary artery dissection cause

SUBMITTER: Zhang D 

PROVIDER: S-EPMC6708194 | biostudies-literature | 2019 Aug

REPOSITORIES: biostudies-literature