An Acute Type A Aortic Dissection Complicated with Malperfusion of the Left Main Coronary Artery
10.4326/jjcvs.45.89
- VernacularTitle:LMT 解離を伴った Stanford A 型急性大動脈解離の1救命例
- Author:
Takuma Yamasaki
;
Eisei Koh
;
Yuji Kaku
;
Shuhei Fujita
;
Junko Katagiri
- Publication Type:Journal Article
- Keywords:
acute aortic dissection;
left main coronary trunk;
malperfusion;
percutaneous coronary intervention;
percutaneous cardiopulmonary support
- From:Japanese Journal of Cardiovascular Surgery
2016;45(2):89-93
- CountryJapan
- Language:Japanese
-
Abstract:
A 64-year-old woman was admitted to our hospital with sudden chest and back pain. Computed tomography showed acute type A aortic dissection complicated with malperfusion of the left main coronary artery (LMT). Immediately after the CT, the patient went into sudden shock. Electrocardiogram showed ventricular tachycardia and ventricular fibrillation. Percutaneous cardio-pulmonary support was administered and coronary arteriogram (CAG) was performed. CAG revealed LMT stenosis and intravascular ultrasound showed mobile intimal flap at the LMT. Percutaneous coronary intervention of the LMT was performed. The patient recovered from shock and was treated with ascending aorta replacement with CABG. The patient was discharged from the hospital without any major complication.
