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

  • Venkataratnam MachirajuEmail author
  • Dhaval Pravin Trivedi
Case report


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.


Intramuscular 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.


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    Machiraju VR. Practical approaches to the current “on-pump” redo coronary artery bypass surgery. Redo Cardiac Surgery in Adults. 2012;

Copyright information

© Indian Association of Cardiovascular-Thoracic Surgeons 2018

Authors and Affiliations

  1. 1.PittsburghUSA
  2. 2.Department of Cardiothoracic SurgeryLos Angeles Medical Center, Kaiser PermanenteLos AngelesUSA

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