Near-fatal acute dissection of the thoracic aorta involving the right coronary artery.
We describe a patient with aortic dissection extending into the right coronary artery who was successfully resuscitated and operated upon after a cardiac arrest during transfer to the operating room. The use of transoesophageal echocardiography was particularly helpful for rapid diagnosis of aortic type A dissection and urgent surgical treatment.
Chevalley
C
C
Division of Anesthesiology and Clinics of Cardiovascular Surgery, University Hospital, CH-1211 Geneva 14, Switzerland.
Montessuit
M
M
Murith
N
N
Licker
M
M
D000208:Acute Disease; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D001021:Aortic Valve / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation; D016887:Cardiopulmonary Resuscitation; D003323:Coronary Aneurysm / Q000601:surgery*; D017548:Echocardiography, Transesophageal; D006323:Heart Arrest / Q000628:therapy; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D008875:Middle Aged