title: Percutaneous coronary intervention is a useful bridge treatment for acute myocardial infarction due to acute type A aortic dissection.
abstract: We report a 71-year-old woman with inferior acute myocardial infarction (AMI) due to type A acute aortic dissection. Emergency enhanced computed tomography (CT) did not show obvious aortic dissection. During emergency percutaneous coronary intervention (PCI), intravascular ultrasonography revealed type A aortic dissection. Hemodynamic stability was restored after PCI. 1 month later, CT revealed a sinus of Valsalva aneurysm, which was treated surgically. This case suggests that PCI could be a good initial treatment option for unstable patients with AMI due to type A aortic dissection. This is the first reported case of sinus of Valsalva aneurysm subsequent to aortic dissection.
authors.affiliation: Department of Cardiovascular Medicine, Asahi General Hospital, I-1326 Asahi, Chiba, 289-2511, Japan, kodera@tke.att.ne.jp.
authors.forename: Satoshi
authors.initials: S
authors.lastname: Kodera
authors.forename: Masayuki
authors.initials: M
authors.lastname: Ikeda
authors.forename: Kazutoshi
authors.initials: K
authors.lastname: Sato
authors.forename: Syunichi
authors.initials: S
authors.lastname: Kushida
authors.forename: Junji
authors.initials: J
authors.lastname: Kanda
mesh_terms: D000368:Aged; D000784:Aortic Dissection / Q000150:complications* / Q000601:surgery; D001014:Aortic Aneurysm / Q000150:complications* / Q000601:surgery; D005260:Female; D006801:Humans; D009203:Myocardial Infarction / Q000209:etiology / Q000601:surgery*; D062645:Percutaneous Coronary Intervention / Q000009:adverse effects / Q000379:methods*; D011183:Postoperative Complications; D014057:Tomography, X-Ray Computed; D018084:Ultrasonography, Interventional