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Complete avulsion of right coronary artery caused by acute type-A aortic dissection
  1. Amit Modi,
  2. Paul Diprose,
  3. Geoffrey Tsang
  1. Wessex Cardiothoracic Centre, University Hospital Southampton, Southampton, Hampshire, UK
  1. Correspondence to Amit Modi, Wessex Cardiothoracic Centre, Southampton University Hospitals NHS Trust, Tremona Road, Southampton, Hampshire SO16 6YD, UK; amit.modi{at}

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A 49-year-old lady presented to the emergency department with acute onset chest pain and non-specific ECG changes. CT revealed a Stanford type-A aortic dissection (figure 1A). She underwent an emergency surgical repair. Intraoperative transoesophageal echocardiogram demonstrated aortic root dissection (figure 1B, see online supplementary video 1). At surgery, complete disruption of the right coronary artery (RCA) was found (figure 2). The distal RCA was grafted with a vein graft and the proximal RCA was ligated. The …

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