Bypassing a dilemma: intraoperative coronary angiography in acute aortic dissection.
Untreated coronary artery disease may complicate the clinical course of patients with Stanford type A acute aortic dissection. In these patients the role of coronary angiography for the assessment of coronary circulation is controversial and it is considered by some time consuming thus increasing the risk of rupture. We describe a case of acute type A aortic dissection that illustrates our approach to this problem.
Neri
Eugenio
E
Istituto di Chirurgia Cardiovascolare Universita' agli Studi di Siena, Unita' Operativa di Chirurgia dell'Aorta Toracica, Policlinico le Scotte, Viale M.Bracci, 53100 Siena, Italy. euxneri@tin.it
Massetti
Massimo
M
Sassi
Carlo
C
D000368:Aged; D000784:Aortic Dissection / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery*; D003131:Combined Modality Therapy; D017023:Coronary Angiography / Q000379:methods; D001026:Coronary Artery Bypass / Q000379:methods; D023921:Coronary Stenosis / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007430:Intraoperative Care / Q000379:methods; D008297:Male; D018570:Risk Assessment; D012501:Saphenous Vein / Q000637:transplantation; D013908:Thoracotomy / Q000379:methods; D016896:Treatment Outcome