Detection of coronary artery disease in acute aortic dissection: the efficacy of 64-row multidetector computed tomography.
We herein describe a case with an acute aortic dissection, whose atherosclerotic coronary artery disease (CAD) could be accurately detected using a preoperative 64-row multidetector computed tomography (MDCT). Emergency surgery including a coronary artery bypass grafting and a total arch replacement were successfully performed without causing perioperative myocardial infarction. MDCT coronary angiography is a safe and noninvasive examination, therefore, we believe that MDCT coronary angiography should become a routine preoperative examination for patients with an acute aortic dissection in order to detect the presence of CAD.
Yoshikai
Masaru
M
Department of Cardiovascular Surgery, Shin-Koga Hospital, Fukuoka, Japan. myoshi@toq.ne.jp
Ikeda
Kazuyuki
K
Itoh
Manabu
M
Noguchi
Ryou
R
D000368:Aged; D000784:Aortic Dissection / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D001026:Coronary Artery Bypass; D003324:Coronary Artery Disease / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D008297:Male; D015898:Tomography Scanners, X-Ray Computed; D014057:Tomography, X-Ray Computed / Q000295:instrumentation / Q000379:methods*