(Received 24 May 1974; accepted 26 August 1974)
Published Online: 1975
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The rare isolated dissecting aneurysm of a coronary artery (DACA), known to be causally related to trauma and Marfan's syndrome, has also been linked with pregnancy and the postpartum state . Hormonal effects on the ground substance or connective tissue of the coronary vessels have been invoked to explain this phenomenon . The well-known relationship of dissecting aneurysms of the aorta with cystic medial necrosis prompted a search for the association of this degenerative change with dissecting aneurysms of the coronary artery. Various authors have confirmed this association [3,4].
Assistant Professor, University of Michigan Medical Center, Ann Arbor, Mich.
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