Off Pump Emergency CABG in Patient with LAD Dissection due to PPCI and Low LVEF 10 Percent

Surgical video case: coronary artery dissection is a rare but serious condition that involves a tear or separation in the layers of the coronary artery wall, which supplies blood to the heart muscle. This tear can disrupt the normal blood flow to the heart and potentially lead to a heart attack or other cardiac complications.

Coronary artery dissection can occur spontaneously or as a result of trauma to the chest, such as a motor vehicle accident or a forceful impact during sports. It is more commonly seen in women, particularly those who are pregnant or have recently given birth. Other risk factors may include connective tissue disorders, certain medical procedures (such as coronary angiography or percutaneous coronary intervention), and underlying blood vessel abnormalities.

The symptoms of coronary artery dissection can vary depending on the extent and location of the tear. They may include:

- Chest pain or discomfort: This is the most common symptom, often described as a sharp, stabbing, or tearing pain that may radiate to the back, neck, jaw, or arms.

- Shortness of breath: Difficulty breathing or a feeling of breathlessness.

- Rapid or irregular heartbeat: Palpitations or an abnormal heart rhythm.

- Sweating and lightheadedness: Feeling clammy or dizzy.