Early coronary reperfusion using only guidewires for acute type A aortic dissection

Coronary malperfusion with acute type A aortic dissection is a fatal complication. It is controversial whether to prioritize central repair or coronary reperfusion. Lifesaving becomes even more difficult if a patient has pericardial haemorrhage. Herein, we report a case of acute type A aortic dissec...

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Published inGeneral thoracic and cardiovascular surgery Vol. 69; no. 9; pp. 1344 - 1346
Main Authors Cho, Tomoki, Uchida, Keiji, Yasuda, Shota, Matsuzawa, Yasushi, Kobayashi, Yoshiyuki
Format Journal Article
LanguageEnglish
Published Singapore Springer Singapore 01.09.2021
Springer Nature B.V
Subjects
Aortic dissection
Cardiac Surgery
Cardiology
Case Report
Catheters
Coronary vessels
Electrocardiography
Emergency medical care
Hemorrhage
Medical imaging
Medicine
Medicine & Public Health
Stents
Surgical Oncology
Thoracic Surgery
Tomography
Veins & arteries
Type A aortic dissection
Coronary reperfusion
Coronary malperfusion
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Summary:Coronary malperfusion with acute type A aortic dissection is a fatal complication. It is controversial whether to prioritize central repair or coronary reperfusion. Lifesaving becomes even more difficult if a patient has pericardial haemorrhage. Herein, we report a case of acute type A aortic dissection associated with left coronary malperfusion and pericardial haemorrhage, wherein reperfusion of the left coronary artery was performed using only guidewires, and central repair could be performed without major delay. Coronary reperfusion using only guidewires can be a revolutionary therapeutic strategy for this disease.
Bibliography:ObjectType-Case Study-2
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ISSN:1863-6705
1863-6713
DOI:10.1007/s11748-021-01662-w