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Coronary stenting with cardiogenic shock due to acute ascending aortic dissection

Yuichi Hanaki1, Kazuhiko Yumoto1, Seigen I1

  • 1Yuichi Hanaki, Kazuhiko Yumoto, Seigen I, Hajime Aoki, Tomoyuki Fukuzawa, Takahiro Watanabe, Kenichi Kato, Department of Cardiology, Yokohama Rosai Hospital, Yokohama 222-0036, Japan.

World Journal of Cardiology
|February 27, 2015
PubMed

Insights

Type A aortic dissection involving the left main coronary artery caused cardiogenic shock. Intravascular ultrasound guided prompt diagnosis and stenting, restoring blood flow and preventing dissection spread.

Area of Science:

  • Cardiology
  • Vascular Surgery
  • Medical Imaging

Background:

  • Type A aortic dissection (TAAD) can compromise coronary arteries, leading to acute coronary syndromes and cardiogenic shock.
  • Left main coronary artery (LMCA) involvement in TAAD presents a critical challenge due to its pivotal role in supplying the left ventricle.
  • Prompt diagnosis and intervention are crucial for managing life-threatening complications of LMCA dissection.

Keywords:
Aortic dissectionCoronary artery stentingIntravascular ultrasoundLeft main coronary arteryMyocardial infarction

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