title: Primary Percutaneous Coronary Intervention in Chronic Type A Aortic Dissection.
abstract: This case illustrates the complexities of performing a primary percutaneous intervention in a patient with chronic Type A aortic aneurysm and dissection with contraindications for surgical management. We also discuss the significant risk that the patient had to overcome to survive an undiagnosed aortic dissection and an acute ST elevation myocardial infarction.
authors.affiliation: Lancashire Cardiac Center, Blackpool Victoria Hospital, Blackpool, Lancashire, United Kingdom.
authors.forename: Ahmed
authors.initials: A
authors.lastname: Farag
authors.affiliation: Department of Medicine, University of Oxford, Oxford, United Kingdom.
authors.forename: Aneesha
authors.initials: A
authors.lastname: Chauhan
authors.affiliation: Lancashire Cardiac Center, Blackpool Victoria Hospital, Blackpool, Lancashire, United Kingdom.
authors.forename: Sunita
authors.initials: S
authors.lastname: Avinash
authors.affiliation: Lancashire Cardiac Center, Blackpool Victoria Hospital, Blackpool, Lancashire, United Kingdom; Radiology Department, Blackpool Victoria Hospital, Blackpool, Lancashire, United Kingdom.
authors.forename: Chee K
authors.initials: CK
authors.lastname: Liew
authors.affiliation: Lancashire Cardiac Center, Blackpool Victoria Hospital, Blackpool, Lancashire, United Kingdom.
authors.forename: Jonas
authors.initials: J
authors.lastname: Eichhöfer
authors.affiliation: Lancashire Cardiac Center, Blackpool Victoria Hospital, Blackpool, Lancashire, United Kingdom.
authors.forename: Anoop
authors.initials: A
authors.lastname: Chauhan
keywords: Chronic aortic dissection; Myocardial infarction; Percutaneous coronary intervention; ST elevation