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Chronic dissecting aneurysm of the isolated coronary artery with hemorrhagic myocardial infarction: A rare complication of cardiac operation in a female with Marfan's syndrome

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Summary

A 37-year-old female with Marfan's syndrome developed myocardial infarction during a cardiac operation for annuloaortic ectasia and chronic dissecting aneurysm of the aorta. At autopsy, a chronic dissecting aneurysm of the left coronary arterial system (the left main stem, anterior descending branch, first diagonal branch, and circumflex branch) showing a true lumen and a pseudo lumen, which were patent, was found. There was also a hemorrhagic myocardial infarction of the anteroseptal wall and apical portion of the left ventricle.

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Authors and Affiliations

  1. Division of Pathology, National Cardiovascular Center, 5-7-1 Fujishirodai, 565, Suita, Osaka, Japan

    Masami Imakita M.D., Chikao Yutani & Hatsue Ishibashi-Ueda

  2. Department of Cardiovascular Surgery, National Cardiovascular Center, 5-7-1 Fujishirodai, 565, Suita, Osaka, Japan

    Motomi Ando & Nobuyuki Nakajima

Authors
  1. Masami Imakita M.D.
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  2. Chikao Yutani
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  3. Hatsue Ishibashi-Ueda
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  4. Motomi Ando
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  5. Nobuyuki Nakajima
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Imakita, M., Yutani, C., Ishibashi-Ueda, H. et al. Chronic dissecting aneurysm of the isolated coronary artery with hemorrhagic myocardial infarction: A rare complication of cardiac operation in a female with Marfan's syndrome. Heart Vessels 5, 243–246 (1990). https://doi.org/10.1007/BF02058697

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  • DOI: https://doi.org/10.1007/BF02058697

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