Beating heart myocardial revascularisation of a sudden cardiac death survivor with spontaneous coronary artery dissection: Pitfalls from diagnosis to surgery

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Cetin E., Ozyuksel A.

BMJ Case Reports, vol.2014, 2014 (Scopus) identifier identifier

  • Publication Type: Article / Article
  • Volume: 2014
  • Publication Date: 2014
  • Doi Number: 10.1136/bcr-2014-207188
  • Journal Name: BMJ Case Reports
  • Journal Indexes: Scopus
  • Istanbul Medipol University Affiliated: Yes

Abstract

Spontaneous coronary artery dissection is a rare clinical condition with a wide range of clinical presentations ranging from asymptomatic cases to life-threatening ventricular arrhythmias and sudden cardiac death. The exact pathophysiological mechanism has not been fully established yet. We would like to present a survivor of sudden cardiac death presenting with ventricular fibrillation due to spontaneous coronary artery dissection. The prompt evaluation, medical management, surgical myocardial revascularisation and value of off-pump coronary artery bypass surgery are discussed.