Acute aortic dissection with ongoing right coronary artery and aortic valve involvement

2012 ◽  
Vol 161 (2) ◽  
pp. e34-e36 ◽  
Author(s):  
Rodrigo Fernández-Jiménez ◽  
David Vivas ◽  
José Alberto de Agustín ◽  
Andrea Kallmeyer ◽  
Enrique Balbacid ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Aortic Valve ◽  
Aortic Dissection ◽  
Right Coronary Artery ◽  
Acute Aortic Dissection

scholarly journals Congenital coronary artery anomaly simulating an acute aortic dissection

Heart ◽  
2004 ◽  
Vol 90 (3) ◽  
pp. e11-e11 ◽  
Author(s):  
L De Luca ◽  
F Bovenzi ◽  
I de Luca
Keyword(s):  
Coronary Artery ◽  
Aortic Dissection ◽  
Right Coronary Artery ◽  
Rare Case ◽  
Acute Aortic Dissection ◽  
Coronary Artery Anomaly ◽  
Sinus Of Valsalva ◽  
Great Vessels ◽  
Left Sinus Of Valsalva

In this rare case, a patient had an anomalous right coronary artery originating from the left sinus of Valsalva coursing between the great vessels. He presented with symptoms and computed tomograms suggestive of an acute aortic dissection.

Obstruction of the right coronary artery ostium due to acute aortic dissection

2009 ◽  
Vol 133 (1) ◽  
pp. 135-137
Author(s):  
Salvatore Patanè ◽  
Filippo Marte ◽  
Salvatore Lentini ◽  
Francesco Monaco ◽  
Sossio Perrotta ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Aortic Dissection ◽  
Right Coronary Artery ◽  
Acute Aortic Dissection ◽  
The Right

Acute Type-A Aortic Dissection with Obstruction of the Right Coronary Artery

2014 ◽  
Vol 17 (4) ◽  
pp. 196
Author(s):  
Erhan Kaya ◽  
Halit Yerebakan ◽  
Daniel Spielman ◽  
Omer Isik ◽  
Cevat Yakut
Keyword(s):  
Coronary Artery ◽  
Aortic Dissection ◽  
Right Coronary Artery ◽  
Type A ◽  
Sudden Onset ◽  
Acute Type ◽  
Type A Aortic Dissection ◽  
Coronary Syndrome ◽  
Bentall Procedure ◽  
The Right

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.

scholarly journals Aortic dissection during transoesophageal echocardiography: a case report

2020 ◽  
Author(s):  
Rin Hoshina ◽  
Hideyuki Kishima ◽  
Takanao Mine ◽  
Masaharu Ishihara
Keyword(s):  
Computed Tomography ◽  
Coronary Artery ◽  
Aortic Dissection ◽  
Right Coronary Artery ◽  
Bypass Graft ◽  
Transoesophageal Echocardiography ◽  
Ascending Aorta ◽  
Maximum Diameter ◽  
Abnormal Finding ◽  
The Right

Abstract Background Transoesophageal echocardiography (TOE) is a safe and useful tool. In our case, we are presenting a rare case of a patient with aortic dissection during TOE procedure. Case summary A 79-year-old woman was referred to our hospital for recurrent paroxysmal atrial fibrillation (AF) with palpitation. Pre-procedural cardiac computed tomography (CT) showed slight dilated ascending aorta (maximum diameter: 40 mm). We decided to perform catheter ablation (CA) for AF, and recommended TOE before the CA because she had a CHADS2 score of 4. On the day before the CA, TOE was performed. Her physical examinations at the time of TOE procedure were unremarkable. At 3 min after probe insertion, there was no abnormal finding of the ascending aorta. At 5 min after the insertion, TOE showed ascending aortic dissection without pericardial effusion. After waking, she had severe back pain and underwent a contrast-enhanced CT. Computed tomography demonstrated Stanford type A aortic dissection extending from the aortic root to the bifurcation of common iliac arteries, and tight stenosis in the right coronary artery (maximum diameter; 49 mm). The patient underwent a replacement of the ascending aorta, and a coronary artery bypass graft surgery for the right coronary artery. Discussion Transoesophageal echocardiography would have to be performed under sufficient sedation with continuous blood pressure monitoring in patients who have risk factors of aortic dissection. The risk–benefit of TOE must be considered before a decision is made. Depending on the situation, another modality instead of TOE might be required.

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