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Multidisciplinary Treatment for a Fontan Patient With Acute Aortic Dissection and Left Coronary Artery Occlusion

Junji Fukami1, Akihisa Furuta1, Takeshi Shinkawa1

  • 1Department of Cardiovascular Surgery, Tokyo Women's Medical University, Heart Institution of Japan, Tokyo, Japan.

JACC. Case Reports
|April 9, 2026
PubMed

Insights

Acute aortic dissection with coronary occlusion is a rare emergency in adults with congenital heart disease. A staged, multidisciplinary approach involving percutaneous coronary intervention and aortic root replacement can be life-saving.

Area of Science:

  • Cardiology
  • Cardiovascular Surgery
  • Congenital Heart Disease

Background:

  • Acute aortic dissection is a life-threatening emergency, especially when complicated by coronary malperfusion.
  • Aortic root degeneration is a known complication in adults with congenital heart disease (CHD).
  • Aortic dissection causing left main coronary artery compression is rare and necessitates urgent intervention.
Abstract

Keywords:
acute aortic dissectioncoronary occlusionpercutaneous coronary interventionsingle ventricle

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