Diagnosis and treatment of a case of acute severe Stanford type A aortic dissection
10.3760/cma.j.issn.2095-4352.2019.02.024
- VernacularTitle:1例急性重症Stanford?A型主动脉夹层患者诊治分析
- Author:
Guochang ZHAO
1
;
Penghong LIU
;
Bing WEN
;
Wenzeng ZHAO
Author Information
1. 郑州大学第一附属医院心血管外科
- Keywords:
Acute myocardial infarction;
Stanford A aortic dissection;
Percutaneous coronary intervention;
Heart failure
- From:
Chinese Critical Care Medicine
2019;31(2):238-240
- CountryChina
- Language:Chinese
-
Abstract:
Patients?with?acute?myocardial?infarction?(AMI)?complicated?with?acute?Stanford?type?A?aortic?dissection?after?percutaneous?coronary?intervention?(PCI)?are?critically?ill,?with?a?very?high?fatality?rate,?and?few?cases?are?successfully?treated?clinically.?A?case?with?AMI?admitted?to?the?First?Affiliated?Hospital?of?Zhengzhou?University?complicated?with?acute?left?cardiac?insufficiency?after?PCI,?Stanford?type?A?aortic?dissection,?pericardial?and?pleural?infection,?recurrent?AMI?was?reviewed.?In?the?condition?of?coexistence?of?many?diseases,?through?timely?adjustment?of?treatment?strategy?and?exploratory?application?of?drugs?to?improve?cardiac?function,?the?patient?successfully?received?operation?and?discharged?from?the?hospital.?By?presenting?the?successful?treatment?experience?of?this?case,?the?author?aims?to?improve?the?overall?treatment?of?AMI?patients?with?acute?Stanford?type?A?aortic?dissection?after?PCI.