Type A aortic dissection with left coronary malperfusion

Left coronary artery malperfusion is a fatal complication of acute type A aortic dissection. However, effective treatment strategies have not yet been established. Herein, we report two cases of left coronary artery malperfusion successfully treated with different preoperative catheter interventions...

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Bibliographic Details
Published in:General thoracic and cardiovascular surgery 2022-02, Vol.70 (2), p.178-180
Main Authors: Noda, Kazuki, Inoue, Yosuke, Matsuo, Jiro, Yokawa, Koki, Uehara, Kyokun, Sasaki, Hiroaki, Hasegawa, Shun, Baden, Masato, Matsuda, Hitoshi
Format: Article
Language:English
Subjects:
Acute Disease
Aneurysm, Dissecting - complications
Aneurysm, Dissecting - diagnostic imaging
Aneurysm, Dissecting - surgery
Aortic dissection
Blood pressure
Cardiac Surgery
Cardiology
Case Report
Catheters
Coronary Angiography
Coronary vessels
Coronary Vessels - diagnostic imaging
Coronary Vessels - surgery
Electrocardiography
Heart attacks
Hemodynamics
Humans
Intervention
Ischemia
Medical imaging
Medicine
Medicine & Public Health
Patients
Surgeons
Surgical Oncology
Task forces
Thoracic Surgery
Tomography
Treatment Outcome
Vascular Surgical Procedures
Veins & arteries
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Summary:Left coronary artery malperfusion is a fatal complication of acute type A aortic dissection. However, effective treatment strategies have not yet been established. Herein, we report two cases of left coronary artery malperfusion successfully treated with different preoperative catheter interventions, followed by a central aortic repair. Preoperative coronary intervention ensuring the blood flow to the left coronary artery might be essential if a coronary angiogram was performed prior to the diagnosis and treatment.
ISSN:1863-6705
1863-6713
DOI:10.1007/s11748-021-01728-9