Boyd W D, Keon W J, Carlier M T, Walley V M
University of Ottawa Heart Institute, Ottawa Civic Hospital, Ontario, Canada.
J Thorac Cardiovasc Surg. 1988 Jan;95(1):140-2.
The case of a 72-year-old woman who died after bypass grafting and endarterectomy of the left anterior descending coronary artery is described. At autopsy a large intramural dissection of the left anterior descending artery that extended proximally to the left main ostium from the endarterectomy site was found. The dissection was associated with clotting of the false lumen and of the graft, and with a myocardial infarct that precipitated this woman's intraoperative death.
描述了一名72岁女性在左前降支冠状动脉搭桥术和动脉内膜切除术后死亡的病例。尸检发现左前降支动脉有一个巨大的壁内夹层，从动脉内膜切除术部位向近端延伸至左主干开口处。该夹层与假腔和移植物内的凝血有关，并与导致该女性术中死亡的心肌梗死有关。
