Successful treatment in a case of acute aortic dissection complicated with acute myocardial infarction due to occlusion of the left main coronary artery.
The patient was a 67-year-old man who was diagnosed with acute myocardial infarction based upon the general symptoms and electrocardiographic findings. Emergent coronary angiography showed a 99% stenosis of the left main coronary artery (LMCA). After the 4.0 mm stent was implanted, he recovered from cardiogenic shock. An acute, Stanford type A aortic dissection was diagnosed by computerized tomography performed after the angioplasty. Transesophageal echocardiography showed that a retrograde dissection of the aorta was compressing the left main coronary ostium. Successful implantation of the stent at the LMCA contributed to saving the patient s life.
Ohara
Yoshikazu
Y
Division of Cardiology, Tokushima Red Cross Hospital, Tokushima, Japan.
Hiasa
Yoshikazu
Y
Hosokawa
Shinobu
S
D000368:Aged; D000784:Aortic Dissection / Q000150:complications* / Q000000981:diagnostic imaging; D015906:Angioplasty, Balloon, Coronary / Q000379:methods*; D001014:Aortic Aneurysm / Q000150:complications* / Q000000981:diagnostic imaging; D017023:Coronary Angiography; D023921:Coronary Stenosis / Q000000981:diagnostic imaging / Q000209:etiology*; D003331:Coronary Vessels; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000209:etiology / Q000628:therapy*; D015607:Stents; D014057:Tomography, X-Ray Computed