Perforation of the left ventricle during dissection of the intramuscular left anterior descending coronary artery—delayed presentation
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.
KeywordsIntramuscular LAD Coronary artery bypass Left ventricular aneurysm
Compliance with ethical standards
This article does not contain any human or animal studies by any of the authors. No informed consent is required.
Conflict of interest
The authors declare that there is no conflict of interest.
- 1.Machiraju VR, Trivedi DM. Deep intramuscular left anterior descending (LAD) artery: implications for a young surgeon performing coronary artery bypass surgery. Clinics Surg. 2017;2:1495.Google Scholar
- 2.Parachuri RV, Chattuparambil B, Hasabettu PK, et al. Marsupialization of intramyocardial left anterior descending artery: a novel approach for easy access during revascularization. Ann Thorac Surg 2005;80:2390–2.Google Scholar
- 3.Machiraju VR. Practical approaches to the current “on-pump” redo coronary artery bypass surgery. Redo Cardiac Surgery in Adults. 2012; https://doi.org/10.1007/978-1-4614-1326-4_2.