scholarly journals A Case of an Acute Type A Aortic Dissection with Left Coronary Artery Malperfusion that was Successfully Stented as a Bridge to Surgery

2021 ◽  
Vol 27 (2) ◽  
pp. 68-71
Author(s):  
Tatsuya Shigematsu ◽  
Hideki Okayama ◽  
Shinsuke Kido ◽  
Kenshou Matsuda ◽  
Tetsuya Aono ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Aortic Dissection ◽  
Left Coronary Artery ◽  
Type A ◽  
Acute Type ◽  
Bridge To Surgery ◽  
Type A Aortic Dissection

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.

Complete avulsion of right coronary artery caused by acute type-A aortic dissection

Heart ◽  
2013 ◽  
Vol 99 (21) ◽  
pp. 1628-1628 ◽  
Author(s):  
Amit Modi ◽  
Paul Diprose ◽  
Geoffrey Tsang
Keyword(s):  
Coronary Artery ◽  
Aortic Dissection ◽  
Right Coronary Artery ◽  
Type A ◽  
Acute Type ◽  
Type A Aortic Dissection

The “High Take-Off” Left Main Coronary Artery in a Patient With Acute Type A Aortic Dissection

Circulation ◽  
2014 ◽  
Vol 130 (12) ◽  
Author(s):  
Woon Heo ◽  
Ho-ki Min ◽  
Do Kyun Kang ◽  
Hee Jae Jun ◽  
Youn-Ho Hwang ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Aortic Dissection ◽  
Left Main Coronary Artery ◽  
Type A ◽  
Acute Type ◽  
Left Main ◽  
Type A Aortic Dissection

scholarly journals Case Report: Intraoperative Open-Heart Coronary Angiography in Acute Type A Aortic Dissection

2021 ◽  
Vol 8 ◽  
Author(s):  
Jue Yang ◽  
Xin Li ◽  
Zerui Chen ◽  
Tucheng Sun ◽  
Ruixin Fan ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Coronary Angiography ◽  
Aortic Dissection ◽  
Aortic Rupture ◽  
Type A ◽  
Conventional Coronary Angiography ◽  
Acute Type ◽  
Open Heart ◽  
Type A Aortic Dissection ◽  
Coronary Artery Stent

For patients with acute type A aortic dissection, strongly suspected of having concomitant severe coronary artery disease (CAD), preoperative or intraoperative coronary angiography has been recommended. However, conventional selective coronary angiography in this setting may extend the dissection or aortic rupture. We present the use of intraoperative open-heart coronary angiography in a patient with acute type A aortic dissection. A 50-year-old man presented with chest pain and dyspnea and was admitted to our department with acute type A aortic dissection. The patient underwent coronary artery stent implantation in the left anterior descending coronary artery (LAD) 3 years previously due to an acute myocardial infarction. This time we failed to evaluate the patency of the LAD using multidetector computed tomography. An aortic rupture occurred due to conventional coronary angiography, and open-heart coronary angiography was performed. The examination revealed no significant stenosis. A Bentall procedure and total aortic arch replacement were performed, with an intraoperative stent inserted into the descending aorta, and the patient had an uneventful postoperative course. From this case, we learn that intraoperative open-heart coronary angiography is safe and effective in patients with acute type A aortic dissection.

Abstract 17497: Management of Acute Type A Aortic Dissection in an Hybrid Operating Room: - Feasibility and Added Value of Preoperative Angiography and Intravascular Ultrasound

Circulation ◽  
2015 ◽  
Vol 132 (suppl_3) ◽  
Author(s):  
Rolf A Janosi ◽  
Konstantinos Tsagakis ◽  
Philipp Kahlert ◽  
Eva Kottenberg ◽  
Riccardo Gorla ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Aortic Dissection ◽  
Operating Room ◽  
Intravascular Ultrasound ◽  
Type A ◽  
Time Interval ◽  
Acute Type ◽  
Hybrid Operating Room ◽  
Type A Aortic Dissection ◽  
The Impact

Introduction: Acute type A aortic dissection (ATAAD) is rapidly lethal and requires comprehensive tactics and decision making. To refine our respective approach we retrospectively analyzed our patients undergoing urgent surgery in our hybrid operating room over a 10 year period for the impact of immediate preoperative coronary angiography (CA), aortography, and/or intravascular ultrasound (IVUS) for the detection of coronary artery disease (CAD) and/or arterial malperfusion. Methods: 136 patients (mean age: 60.6 y ± 13; 63% male, March 2004-February 2014) underwent preoperative CA with or without IVUS. We assessed the time interval from preoperative CA to surgery and the impact for concomitant coronary artery bypass grafting (CABG) or endovascular interventions. Results: The delay to proceed with surgery due to preoperative catheterization averaged 32 min ± 26 (Fig. 1) in the setting of the hybrid OR. CA revealed CAD in 47/136 (35%) patients, with CABG consequently performed in 38 (28%). In 12 (9%) patients, CABG was necessary due to ostium obstruction by the dissection. 30-day mortality more than doubled in patients with concomitant CAD (27.7% vs. 11.2%, respectively, p<0.01). However in patients with confirmed CAD, mortality was less 19% (6/31), in those undergoing CABG, compared to 44% (7/16) for isolated aortic repair (p=0.08). Conclusions: In a hybrid operating room setting, preoperative coronary and aortic angiography do not unduly delay surgery, facilitate diagnosis of coronary malperfusion, and allowing concomitant CABG in as much as 28% of patients.

scholarly journals Aortic root remodelling with external ring annuloplasty in acute type A aortic dissection

2019 ◽  
Vol 30 (1) ◽  
pp. 85-90 ◽  
Author(s):  
Yasuyuki Kato ◽  
Kenichi Sasaki ◽  
Hidetaka Yamauchi ◽  
Yasuyuki Kanno ◽  
Taiyo Jinno ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Aortic Valve ◽  
Aortic Dissection ◽  
Aortic Regurgitation ◽  
Aortic Root ◽  
Type A ◽  
Acute Type ◽  
Type A Aortic Dissection ◽  
External Ring ◽  
Ring Annuloplasty

Abstract OBJECTIVES To investigate the early and mid-term results of aortic root remodelling with external ring annuloplasty in acute type A aortic dissection. METHODS From January 2015 to April 2019, a total of 194 patients underwent emergency or urgent operation for acute type A aortic dissection in our hospital. Of these, outcomes in 18 patients who underwent valve-sparing aortic root remodelling with external ring annuloplasty were retrospectively evaluated. RESULTS The mean age of the 18 patients was 49 ± 14 years. Fourteen patients (78%) were men. Five patients had Marfan syndrome and 2 patients had bicuspid aortic valve. Two patients had coronary malperfusion and 1 patient had cerebral malperfusion. All 18 patients underwent aortic root remodelling with external ring annuloplasty. Cusp repair using central cusp plication was required in 9 patients. Concomitant procedures were hemiarch replacement in 8 patients, total arch replacement in 7 patients, partial arch replacement in 1 patient and coronary artery bypass grafting to the right coronary artery in 3 patients. Thirty-day mortality rate was 5.6% (1 of 18). Postoperative echocardiography showed aortic regurgitation of &lt;1+ in all patients. During follow-up (mean 56 ± 41 months), 1 case of recurrent aortic regurgitation required aortic valve replacement. CONCLUSIONS Aortic root remodelling with external ring annuloplasty may be an appropriate treatment in middle-aged or younger patients presenting with acute type A aortic dissection.

Left Coronary Artery Compression Caused by a False Aneurysm Expansion after Perforation of Type A Aortic Dissection

2010 ◽  
Vol 25 (1) ◽  
pp. 72-73 ◽  
Author(s):  
Jan Vojacek ◽  
Josef Bis ◽  
Jan Dominik ◽  
Josef Stasek ◽  
Tomas Holubec ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Aortic Dissection ◽  
Left Coronary Artery ◽  
False Aneurysm ◽  
Type A ◽  
Type A Aortic Dissection

scholarly journals A Case of Acute Type A Aortic Dissection with Acute Coronary Syndrome : Left Main Stenting as a Bridge to Surgery

2016 ◽  
Vol 45 (5) ◽  
pp. 254-257 ◽  
Author(s):  
Muneaki Yamada ◽  
Yasuyuki Kato ◽  
Aya Takahashi ◽  
Daisuke Shiomi ◽  
Hiroshi Kiyama
Keyword(s):  
Acute Coronary Syndrome ◽  
Aortic Dissection ◽  
Type A ◽  
Acute Type ◽  
Bridge To Surgery ◽  
Left Main ◽  
Type A Aortic Dissection ◽  
Coronary Syndrome
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