Perforation of the left ventricle during dissection of the intramuscular left anterior descending coronary artery-delayed presentation

Venkataratnam Machiraju; Dhaval Pravin Trivedi

doi:10.1007/s12055-018-0684-5

Perforation of the left ventricle during dissection of the intramuscular left anterior descending coronary artery-delayed presentation

Indian J Thorac Cardiovasc Surg. 2019 Jan;35(1):59-61. doi: 10.1007/s12055-018-0684-5. Epub 2018 Jul 14.

Authors

Venkataratnam Machiraju¹, Dhaval Pravin Trivedi²

Affiliations

¹ Pittsburgh, USA.
² Department of Cardiothoracic Surgery, Los Angeles Medical Center, Kaiser Permanente, 1526 N. Edgemont Street, Los Angeles, CA 90027 USA.

Abstract

Dissecting out a deep intramuscular left anterior descending coronary (LAD) artery during coronary artery revascularization requires surgical experience. Inadvertent entry into the right ventricle had been reported during such dissection previously. However, entry into the left ventricle (LV) has not. Here, we present a case where such an entry occurred and was successfully repaired.The patient presented ten years later with delayed rupture of the LV.

Keywords: Coronary artery bypass; Intramuscular LAD; Left ventricular aneurysm.

Publication types

Case Reports