scholarly journals Successful Aorta-osteal Stenting after Iatrogenic Acute Type-A Aortic Dissection during Primary Percutaneous Coronary Intervention

2015 ◽  
Vol 31 (4) ◽  
pp. 352-355
Author(s):  
Adem Bekler ◽  
Ali Ozeren ◽  
Emine Gazi ◽  
Ahmet Temiz ◽  
Burak Altun
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Aortic Dissection ◽  
Primary Percutaneous Coronary Intervention ◽  
Type A ◽  
Coronary Intervention ◽  
Acute Type ◽  
Type A Aortic Dissection ◽  
Percutaneous Coronary

Primary Percutaneous Coronary Intervention in Chronic Type A Aortic Dissection

Aorta ◽  
2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Ahmed Farag ◽  
Aneesha Chauhan ◽  
Sunita Avinash ◽  
Chee Liew ◽  
Jonas Eichhöfer ◽  
...  
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Aortic Dissection ◽  
Primary Percutaneous Coronary Intervention ◽  
Type A ◽  
Coronary Intervention ◽  
Chronic Type ◽  
Type A Aortic Dissection ◽  
Percutaneous Coronary

scholarly journals Percutaneous coronary intervention for left main coronary artery malperfusion in acute type A aortic dissection

2021 ◽  
Author(s):  
Yuya Taguchi ◽  
Shunsuke Kubo ◽  
Akihiro Ikuta ◽  
Kohei Osakada ◽  
Makoto Takamatsu ◽  
...  
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Aortic Dissection ◽  
Left Main Coronary Artery ◽  
Coronary Intervention ◽  
The Other ◽  
Acute Type ◽  
Left Main ◽  
Type A Aortic Dissection ◽  
Percutaneous Coronary ◽  
Va Ecmo

AbstractThe clinical outcomes of patients undergoing percutaneous coronary intervention (PCI) for left main coronary artery (LMCA) malperfusion caused by acute type A aortic dissection (AAAD) remains largely unexplored. The aim of this study was to determine the clinical outcomes of patients undergoing PCI for LMCA malperfusion caused by AAAD. We examined nine consecutive patients undergoing PCI for LMCA malperfusion caused by AAAD between 1995 and 2020. The mean age was 55.4 ± 7.7 years. Eight patients presented cardiogenic shock, and five patients cardiopulmonary arrest. Two patients were diagnosed with AAAD before coronary angiography using computed tomography and transthoracic echocardiography, respectively, and in the other seven patients after coronary angiography using other modalities. Four patients underwent PCI on intra-aortic balloon pumping support, and four patients on venoarterial extracorporeal membrane oxygenation (VA-ECMO) support, including one patient on both. PCI was successful in eight patients, with final thrombolysis in myocardial infarction grade 2 or 3. The four patients on VA-ECMO did not undergo aortic dissection repair due to poor recovery of cardiac function and died during the hospital stay, and the other five patients had successful PCI, underwent aortic dissection repair, and remained alive at 5 year follow-up. In conclusion, LMCA malperfusion caused by AAAD seemed to have clinical presentations and electrocardiogram changes similar to acute coronary syndrome. PCI and subsequent surgical aortic repair saved the lives of all AAAD patients with LMCA malperfusion who had not required VA-ECMO.

scholarly journals Outcomes of Preoperative Antiplatelet Therapy in Patients with Acute Type A Aortic Dissection

2021 ◽  
Author(s):  
Xuan Jiang ◽  
Enyi Shi ◽  
Ruixin Fan ◽  
Ximing Qian ◽  
Hongjia Zhang ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Antiplatelet Therapy ◽  
Type A ◽  
Coronary Intervention ◽  
Acute Type ◽  
Type A Aortic Dissection ◽  
Coronary Syndrome ◽  
Before And After ◽  
Life Threatening ◽  
Immediate Surgery

Background: Acute type A aortic dissection(ATAAD) is life-threatening and requires immediate surgery. Sudden chest pain may lead to a risk of misdiagnosis as acute coronary syndrome and may lead to subsequent antiplatelet therapy. We used the Chinese Acute Aortic Syndrome Collaboration Database (AAS) to study the effects of antiplatelet therapy (APT) on clinical outcomes. Methods: The AAS database is a retrospective multicentre database where 31 of 3092 had APT with aspirin or clopidogrel or both before surgery. Before and after propensity score matching, the incidence of complications and mortality was compared between APT and non-APT patients by using a logistic regression model. The sample remaining after PSM was 30 in the APT group and 80 in the non-APT group. Results: The sample remaining after matching was 30 in the APT group and 80 in the non-APT group. We found 10 cases with percutaneous coronary intervention in the APT group(33.3%). The APT group received more volume of packed red blood cell (RBC), 8.4±6.05 units; plasma, 401.67±727 ml, and platelet transfusion(14.07±8.92 units). The drainage volume was much more in the APT group( 5009.37±2131.44ml, P=0.004). Mortality was higher in APT group(26% vs 10%, P=0.027). The preoperative APT was independent predictor of mortality(OR 6.808, 95% CI1.554-29.828, P = 0.011). Conclusion: APT prior to ATAAD repair was associated with more transfusions and higher early mortality. The timing of surgery should be carefully considered based on the patient’s status and the surgeon’s experience.

scholarly journals INTRAOPERATIVE TYPE A AORTIC DISSECTION REPAIR (case report)

2017 ◽  
Vol 4 (2) ◽  
pp. 57-60
Author(s):  
A.A. Abdurakhmanov ◽  
M.A. OBEID ◽  
M. EHRLICH
Keyword(s):  
Aortic Dissection ◽  
Coronary Bypass ◽  
Type A ◽  
Coronary Intervention ◽  
Type A Aortic Dissection ◽  
Off Pump ◽  
Iatrogenic Aortic Dissection ◽  
Percutaneous Coronary ◽  
Cardiac Surgeons ◽  
Aneurysm Repair

Abdurakhmanov A.A., Obeid M.A., Ehrlich M.Iatrogenic aortic dissection (IAD) is a very rare but dangerous complication, which can occur during or after open cardiac surgery, complex percutaneous coronary intervention (PCI), thoracic endovascular aortic aneurysm repair (TEVAR) or transaortic valve replacement (TAVR). According to literature, IAD is observed three times more frequently during off pump (OPCAB) than conventional coronary bypass grafting (CABG). It is also associated with a higher mortality and represents a huge challenge to all cardiovascular professionals including cardiac surgeons who encounter this clinical outcome. Here we present a case of intraoperative Stanford type A aortic dissection during off-pump coronary artery bypass.KeyWords: Aortic dissection, iatrogenic aortic dissection, type A aortic dissection, Dissection of the thoracic aorta, Stanford classification. ІНТРАОПЕРАЦІЙНЕ РОЗШАРУВАННЯ АОРТИ ТИПУ А (клінічний випадок)Абдурахманов А.А., Обейд М.А., Ерліх М.Ятрогенна аортальна диссекція (Яад) - дуже рідкісне, але небезпечне ускладнення, яке може виникати під час або після операції на відкритому серці, комплексних чрескожних коронарних інтервенцій, реконструктивних втручань при аневризмах аорти або при протезуванні аортального клапана. Згідно з літературними даними Яад спостерігається в три рази частіше при коронарного шунтування на працюючому серці, ніж при звичайному коронарного шунтування. Розшарування аорти також асоціюється з більш високою смертністю і являє собою певний виклик для кардіологів та кардіохірургів, які безпосередньо стикаються з цим клінічним ускладненням. У даній публікації ми представляємо випадок диссекции аорти типу А по Стенфорду, що виникла интраоперационно під час операції аорто-коронарного шунтування на працюючому серці.Ключові слова: диссекція аорти, ятрогенное розсічення аорти, розсічення аорти типу А, розсічення грудної аорти, класифікація Стенфорда ИНТРАОПЕРАЦИОННОЕ РАССЛОЕНИЕ АОРТЫ ТИПА А (клинический случай)Абдурахманов А.А., Обейд М.А., Эрлих М.Ятрогенная аортальная диссекция (ЯАД) - очень редкое, но опасное осложнение, которое может возникать во время или после операции на открытом сердце, комплексных чрескожных коронарных интервенций, реконструктивных вмешательств при аневризмах аорты или при протезировании аортального клапана. Согласно литературным данным ЯАД наблюдается в три раза чаще при коронарном шунтировании на работающем сердце, нежели при обычном коронарном шунтировании. Расслоение аорты также ассоциируется с более высокой смертностью и представляет собой определенный вызов для кардиологов и кардиохирургов, которые непосредственно сталкиваются с этим клиническим осложнением. В данной публикации мы представляем случай диссекции аорты типа А по Стенфорду, возникшей интраоперационно во время операции аорто-коронарного шунтирования на работающем сердце.Ключевые слова: диссекция аорты, ятрогенное рассечение аорты, рассечение аорты типа А, рассечение грудной аорты, классификация Стэнфорда

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