title: Left main coronary malperfusion from acute non-communicating aortic dissection.
abstract: A 64-year-old man was admitted with sudden back and chest pain. He had undergone aortic valve replacement 5 years earlier. Enhanced computed tomography showed acute type A non-communicating aortic dissection. He was initially treated with supportive medical therapy. Since he was restless, he was placed on a respirator. He went into sudden shock 6 h after onset. Percutaneous cardiopulmonary support was administered, and coronary arteriography showed progression of the dissection to the left main trunk. Percutaneous coronary intervention was performed. He recovered from shock and then underwent ascending aorta replacement. He was discharged from hospital without any major complications.
authors.affiliation: Department of Cardiovascular Surgery, Nagoya Heart Center, 1-1-14 Sunadabashi, Higashi-ku, Nagoya, Aichi, 461-0045, Japan. tamaki@heart-center.or.jp.
authors.forename: Mototsugu
authors.identifier: http://orcid.org/0000-0003-2377-5506
authors.initials: M
authors.lastname: Tamaki
authors.affiliation: Department of Cardiovascular Surgery, Nagoya Heart Center, 1-1-14 Sunadabashi, Higashi-ku, Nagoya, Aichi, 461-0045, Japan.
authors.forename: Hideki
authors.initials: H
authors.lastname: Kitamura
authors.affiliation: Department of Cardiovascular Surgery, Nagoya Heart Center, 1-1-14 Sunadabashi, Higashi-ku, Nagoya, Aichi, 461-0045, Japan.
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Koyama
authors.affiliation: Department of Cardiovascular Surgery, Nagoya Heart Center, 1-1-14 Sunadabashi, Higashi-ku, Nagoya, Aichi, 461-0045, Japan.
authors.forename: Arishige
authors.initials: A
authors.lastname: Kimura
authors.affiliation: Department of Cardiovascular Surgery, Nagoya Heart Center, 1-1-14 Sunadabashi, Higashi-ku, Nagoya, Aichi, 461-0045, Japan.
authors.forename: Yasuhide
authors.initials: Y
authors.lastname: Okawa
mesh_terms: D000208:Acute Disease; D000784:Aortic Dissection / Q000601:surgery*; D001011:Aorta / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D001021:Aortic Valve; D019917:Blood Vessel Prosthesis Implantation; D016887:Cardiopulmonary Resuscitation; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D003326:Coronary Circulation; D003327:Coronary Disease / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D062645:Percutaneous Coronary Intervention; D014057:Tomography, X-Ray Computed; D014656:Vascular Surgical Procedures
keywords: Acute non-communicating aortic dissection; Left main coronary trunk; Malperfusion; Percutaneous cardiopulmonary support; Percutaneous coronary intervention