[Acute aortic dissection with left main coronary malperfusion treated with precedent stenting followed by a definitive surgery].
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.
Shimamura
Junichi
J
Department of Cardiovascular Surgery, Kyorin University School of Medicine, Mitaka, Japan.
Kubota
Hiroshi
H
Tonari
Kunihiko
K
Endo
Hidehito
H
Tsuchiya
Hiroshi
H
Takahashi
Yu
Y
Inaba
Yusuke
Y
Kosho
Hideyasu
H
Minamishima
Toshinori
T
Inami
Takumi
T
Yoshino
Hideaki
H
Sudo
Kenichi
K
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