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Updated: May 1, 2026

Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
Percutaneous coronary intervention is a useful bridge treatment for acute myocardial infarction due to acute type A
Satoshi Kodera1, Masayuki Ikeda, Kazutoshi Sato
1Department of Cardiovascular Medicine, Asahi General Hospital, I-1326 Asahi, Chiba, 289-2511, Japan, kodera@tke.att.ne.jp.
Abstract:
We report a 71-year-old woman with inferior acute myocardial infarction (AMI) due to type A acute aortic dissection. Emergency enhanced computed tomography (CT) did not show obvious aortic dissection. During emergency percutaneous coronary intervention (PCI), intravascular ultrasonography revealed type A aortic dissection. Hemodynamic stability was restored after PCI. 1 month later, CT revealed a sinus of Valsalva aneurysm, which was treated surgically. This case suggests that PCI could be a good initial treatment option for unstable patients with AMI due to type A aortic dissection. This is the first reported case of sinus of Valsalva aneurysm subsequent to aortic dissection.
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