title: Emergency rescue endovascular stent grafting of ascending aorta to relieve life-threatening coronary obstruction in a case of acute aortic dissection.
abstract: Myocardial ischemia associated with acute aortic dissection is frequently a fatal complication, and the emergent management still remains a challenge. We report a patient with life-threatening myocardial ischemia due to acute aortic dissection managed by rescue stent grafting of the ascending aorta. Coronary blood flow improved immediately with this endovascular procedure, hemodynamic status was ameliorated dramatically, followed by uneventful open repair.
authors.affiliation: Department of Cardiovascular Surgery, Higashi Takarazuka Satoh Hospital, Hyogo, Japan. Electronic address: y-tauchi@mail.hts-hsp.com.
authors.forename: Yuuya
authors.initials: Y
authors.lastname: Tauchi
authors.affiliation: Department of Cardiovascular Surgery, Higashi Takarazuka Satoh Hospital, Hyogo, Japan.
authors.forename: Hideki
authors.initials: H
authors.lastname: Tanioka
authors.affiliation: Department of Cardiovascular Surgery, Higashi Takarazuka Satoh Hospital, Hyogo, Japan.
authors.forename: Haruhiko
authors.initials: H
authors.lastname: Kondoh
authors.affiliation: Department of Cardiovascular Surgery, Higashi Takarazuka Satoh Hospital, Hyogo, Japan.
authors.forename: Hisashi
authors.initials: H
authors.lastname: Satoh
authors.affiliation: Department of Cardiovascular Surgery, Higashi Takarazuka Satoh Hospital, Hyogo, Japan.
authors.forename: Hikaru
authors.initials: H
authors.lastname: Matsuda
mesh_terms: D000208:Acute Disease; D000368:Aged; D000784:Aortic Dissection / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D001013:Aorta, Thoracic / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D017023:Coronary Angiography; D054059:Coronary Occlusion / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D004562:Electrocardiography; D004630:Emergencies; D057510:Endovascular Procedures / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015607:Stents; D014057:Tomography, X-Ray Computed