A Case of Type A Aortic Dissection That Developed Ischemic Cardiomyopathy due to Coronary Malperfusion
- VernacularTitle:冠血流障害により虚血性心筋症を発症した A 型大動脈解離の1例
- Author:
Emi NAGATA
1
;
Takashi IGARASHI
1
;
Hirono SATOKAWA
1
;
Tsuyoshi FUJIMIYA
1
;
Hiroharu SHINJO
1
;
Keiichi ISHIDA
1
;
Hitoshi YOKOYAMA
1
Author Information
- Keywords: type A aortic dissection; coronary malperfusion; ischemic cardiomyopathy; left ventricular systolic dysfunction
- From:Japanese Journal of Cardiovascular Surgery 2021;50(4):279-282
- CountryJapan
- Language:Japanese
- Abstract: A 57-year-old man complained of dyspnea, and his echocardiography showed diffuse severe left ventricular dysfunction. Five days after admission and starting the treatment for congestive heart failure, a computed tomography pointed out DeBakey type 1 aortic dissection with a patent false lumen incidentally. The ostium of the left coronary artery was compressed with the false lumen, and this finding was thought to be a cause of development of left ventricular dysfunction. A modified Bentall procedure with bioprosthesis and total arch replacement were performed. The patient was discharged on the 28th postoperative day without any complications.
