title: Acute type-A aortic dissection with obstruction of the right coronary artery.
abstract: Occlusion of a coronary artery by an acute type A aortic dissection presents a life-threatening emergency that is rarely seen and easy to misdiagnose. We present the case of a 75-year-old male who experienced sudden onset of severe left-sided chest pain due to an acute type A aortic dissection that obstructed the right coronary artery. Following an initial misdiagnosis of acute coronary syndrome, imaging revealed the presence of an aortic dissection. An emergency modified Bentall procedure was performed, in which the damaged aorta and aortic valve were replaced.
authors.affiliation: Özel Pendik Bölge Hastanesi, Pendik, Istanbul, Turkey.
authors.forename: Erhan
authors.initials: E
authors.lastname: Kaya
authors.affiliation: New York Presbyterian Hospital, Division of Cardiothoracic Surgery, College of Physicians & Surgeons of Columbia University, New York, New York, USA.
authors.forename: Halit
authors.initials: H
authors.lastname: Yerebakan
authors.affiliation: New York Presbyterian Hospital, Division of Cardiothoracic Surgery, College of Physicians & Surgeons of Columbia University, New York, New York, USA.
authors.forename: Daniel
authors.initials: D
authors.lastname: Spielman
authors.affiliation: Özel Pendik Bölge Hastanesi, Pendik, Istanbul, Turkey.
authors.forename: Omer
authors.initials: O
authors.lastname: Isik
authors.affiliation: Özel Pendik Bölge Hastanesi, Pendik, Istanbul, Turkey.
authors.forename: Cevat
authors.initials: C
authors.lastname: Yakut
mesh_terms: D000368:Aged; D000784:Aortic Dissection / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D001014:Aortic Aneurysm / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D023921:Coronary Stenosis / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods; D016896:Treatment Outcome