Related Experiment Videos
Left main coronary malperfusion from acute non-communicating aortic dissection
Mototsugu Tamaki1, Hideki Kitamura2, Yutaka Koyama2
1Department of Cardiovascular Surgery, Nagoya Heart Center, 1-1-14 Sunadabashi, Higashi-ku, Nagoya, Aichi, 461-0045, Japan. tamaki@heart-center.or.jp.
General Thoracic and Cardiovascular Surgery
|April 8, 2017
Summary
A 64-year-old man experienced sudden chest and back pain due to acute type A aortic dissection. Prompt intervention with percutaneous coronary intervention and ascending aorta replacement led to a successful recovery.
Area of Science:
- Cardiology
- Cardiovascular Surgery
- Medical Imaging
Background:
- A 64-year-old male with a history of aortic valve replacement presented with acute symptoms.
- Acute type A non-communicating aortic dissection was diagnosed via enhanced computed tomography.
Observation:
- The patient developed sudden shock 6 hours after admission, requiring mechanical ventilation and percutaneous cardiopulmonary support.
- Coronary arteriography revealed dissection progression to the left main coronary artery.
Findings:
- Percutaneous coronary intervention was successfully performed for the left main trunk dissection.
- The patient subsequently underwent ascending aorta replacement.
Implications:
- This case highlights the successful management of a complex aortic dissection involving coronary arteries.
- Multidisciplinary intervention, including medical therapy, circulatory support, and surgical repair, is crucial for favorable outcomes in acute aortic dissection.