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1 Cardiovascular Laboratory and Department of Thoracic Surgery, Bryan Memorial Hospital, Lincoln, Neb.
Following acute inferior wall myocardial infarction, a 56-year-old man gradually developed marked cardiac enlargement due to hemopericardium. In addition to an occluded right coronary artery, coronary arteriography demonstrated extraluminal dye around the artery. Surgical inspection revealed adventitial dissection of blood and resolving hematoma. Three and one-half years later, he is asymptomatic and is the first known survivor of a primary dissecting aneurysm of a coronary artery.
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