title: [Acute aortic dissection with left main coronary malperfusion treated with precedent stenting followed by a definitive surgery].
abstract: Coronary malperfusion due to acute aortic dissection (AAD) is a relatively rare, but fatal condition. We experienced a case of acute myocardial infarction (AMI) with cardiogenic shock due to compression of the left main trunk (LMT) by a false lumen of an AAD. Percutaneous coronary intervention (PCI) to the LMT was firstly performed, followed by a definitive surgery under a stable hemodynamic condition. Stanford type A AAD is an indication for emergency operation and stenting to the LMT is controversial. However, it might be an essential strategy to perform precedent PCI to the LMT which quickly relieves global ischemia, and achieves hemodynamic stability for the following definitive surgery.
authors.affiliation: Department of Cardiovascular Surgery, Kyorin University School of Medicine, Mitaka, Japan.
authors.forename: Junichi
authors.initials: J
authors.lastname: Shimamura
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Kubota
authors.forename: Kunihiko
authors.initials: K
authors.lastname: Tonari
authors.forename: Hidehito
authors.initials: H
authors.lastname: Endo
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Tsuchiya
authors.forename: Yu
authors.initials: Y
authors.lastname: Takahashi
authors.forename: Yusuke
authors.initials: Y
authors.lastname: Inaba
authors.forename: Hideyasu
authors.initials: H
authors.lastname: Kosho
authors.forename: Toshinori
authors.initials: T
authors.lastname: Minamishima
authors.forename: Takumi
authors.initials: T
authors.lastname: Inami
authors.forename: Hideaki
authors.initials: H
authors.lastname: Yoshino
authors.forename: Kenichi
authors.initials: K
authors.lastname: Sudo
mesh_terms: D000368:Aged; D000784:Aortic Dissection / Q000601:surgery / Q000628:therapy*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery / Q000628:therapy*; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000209:etiology*; D015607:Stents