title: How should I treat impaired systolic function and clinical deterioration after surgery of type A aortic dissection?
abstract: BACKGROUND
  A 50-year-old male with diagnosis of acute type A aortic dissection underwent surgical repair. Immediately after surgery the patient had transient ECG changes, a raise in serum cardiac markers and physical signs of heart failure.
  
  
  METHODS
  Physical examination, electrocardiography, echocardiography (transthoracic and transoesophageal), coronary angiography, intravascular ultrasound.
  
  
  METHODS
  Type A aortic dissection.
  
  
  RESULTS
  Surgical repair, coronary angiography, percutaneous coronary intervention.
authors.affiliation: Erasmus MC, Thoraxcentrum, Rotterdam, The Netherlands. jlgutierrez@medynet.com
authors.forename: Juan Luis
authors.initials: JL
authors.lastname: Gutiérrez-Chico
authors.forename: Hector M
authors.initials: HM
authors.lastname: García-García
authors.forename: Jurgen
authors.initials: J
authors.lastname: Ligthart
authors.forename: Goris
authors.initials: G
authors.lastname: Bol-Raap
authors.forename: Scot
authors.initials: S
authors.lastname: Garg
authors.forename: Jos A
authors.initials: JA
authors.lastname: Bekkers
authors.forename: Patrick W
authors.initials: PW
authors.lastname: Serruys
mesh_terms: D000208:Acute Disease; D000784:Aortic Dissection / Q000601:surgery*; D015906:Angioplasty, Balloon, Coronary; D001014:Aortic Aneurysm / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D017023:Coronary Angiography; D003326:Coronary Circulation; D017548:Echocardiography, Transesophageal; D004562:Electrocardiography; D006333:Heart Failure / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D006439:Hemodynamics; D006801:Humans; D008297:Male; D008875:Middle Aged; D013599:Systole; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional; D018487:Ventricular Dysfunction, Left / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D016277:Ventricular Function, Left