Intracoronary thrombolysis and intraaortic balloon counterpulsation for the emergency treatment of probable coronary embolism after repair of an acute ascending aortic dissection.
This report shows that if diffuse coronary thromboembolism is encountered during ascending aortic dissection-repair, the option of combining single-bolus, intracoronary thrombolysis with intraaortic balloon counterpulsation should be considered.
Mentzelopoulos
S D
SD
Departments of Anesthesiology and Second Division of Cardiac Surgery, Evangelismos General Hospital, Athens, Greece. sdm@hol.gr
Kokotsakis
J N
JN
Romana
C N
CN
Karamichali
E A
EA
D001011:Aorta / Q000601:surgery*; D002315:Cardiopulmonary Bypass; D003327:Coronary Disease / Q000209:etiology / Q000628:therapy*; D004562:Electrocardiography; D004617:Embolism / Q000209:etiology / Q000628:therapy*; D004632:Emergency Medical Services; D005260:Female; D006439:Hemodynamics; D006801:Humans; D007423:Intra-Aortic Balloon Pumping; D007431:Intraoperative Complications / Q000628:therapy*; D008875:Middle Aged; D016343:Monitoring, Intraoperative; D015912:Thrombolytic Therapy