title: Coronary Thrombosis and Type A Aortic Dissection.
abstract: A 74-year-old female had urgent surgery with replacement of the ascending aorta for acute type A dissection. Postprocedure, the electrocardiogram showed an ST-segment elevation myocardial infarction in the antero-lateral leads. Angiography revealed a thrombotic occlusion of the left anterior descending artery, treated successfully with bivalirudin administration, thrombus aspiration and a balloon angioplasty. This case involves the rare coexistence of acute type A aortic dissection and myocardial infarction due to coronary plaque thrombosis.
authors.affiliation: Cardiovascular and Thoracic Department, Azienda Ospedaliera Universitaria Città della Salute e della Scienza di Torino, Corso Bramante 88, Turin, Italy.
authors.forename: Matteo
authors.initials: M
authors.lastname: Marchetti
authors.affiliation: Cardiovascular and Thoracic Department, Azienda Ospedaliera Universitaria Città della Salute e della Scienza di Torino, Corso Bramante 88, Turin, Italy.
authors.forename: Paolo
authors.initials: P
authors.lastname: Scacciatella
authors.affiliation: Department of Surgical Sciences, University of Turin, Azienda Ospedaliera Universitaria Città della Salute e della Scienza di Torino, Corso Bramante 88, Turin, Italy.
authors.forename: Elio
authors.initials: E
authors.lastname: Di Rosa
authors.affiliation: Department of Surgical Sciences, University of Turin, Azienda Ospedaliera Universitaria Città della Salute e della Scienza di Torino, Corso Bramante 88, Turin, Italy.
authors.forename: Mauro
authors.initials: M
authors.lastname: Rinaldi
authors.affiliation: Cardiovascular and Thoracic Department, Azienda Ospedaliera Universitaria Città della Salute e della Scienza di Torino, Corso Bramante 88, Turin, Italy.
authors.forename: Sebastiano
authors.initials: S
authors.lastname: Marra
mesh_terms: D000208:Acute Disease; D000368:Aged; D000784:Aortic Dissection / Q000150:complications* / Q000601:surgery*; D015906:Angioplasty, Balloon, Coronary; D001011:Aorta; D001014:Aortic Aneurysm / Q000150:complications* / Q000601:surgery*; D017023:Coronary Angiography; D003331:Coronary Vessels; D004562:Electrocardiography; D005260:Female; D006629:Hirudins / Q000008:administration & dosage; D006801:Humans; D009203:Myocardial Infarction / Q000175:diagnosis / Q000209:etiology; D010446:Peptide Fragments / Q000008:administration & dosage; D011994:Recombinant Proteins / Q000008:administration & dosage; D017131:Thrombectomy; D013927:Thrombosis / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy*; D016896:Treatment Outcome
chemical_list: D006629:Hirudins; D010446:Peptide Fragments; D011994:Recombinant Proteins; C074619:bivalirudin