Robicsek F, Bersin R M, Kowalchuk G, Kollar A
Department of Thoracic and Cardiovascular Surgery, Carolinas Heart Institute, Charlotte, North Carolina, USA.
J Card Surg. 1995 Nov;10(6):626-31. doi: 10.1111/j.1540-8191.1995.tb00652.x.
The mechanism of instrument-induced coronary artery dissections (IICDs) is briefly presented. Depending on the coronary anatomy, three different situations that may occur are distinguished: (1) major coronary branches between the site of dissection and planned anastomosis; (2) no important collaterals at the same location; and (3) perforation of the coronary artery. Surgical methods applicable to each for the correction of these situations is presented.
