Acute type A aortic dissection combined with surgical treatment with acute myocardial infarction

Acute myocardial infarction, as a result of coronary malperfusion caused by acute type A aortic dissection, has been identified as one of significant factors relating to operative mortality. This complication could be diagnosed with a combination of electrocardiography and echocardiography in acute...

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Bibliographic Details
Published inKyobu geka. The Japanese journal of thoracic surgery Vol. 58; no. 10; p. 861
Main Authors Masuyama, S, Matsuda, M, Soeda, T, Yuasa, S, Shimizu, K
Format Journal Article
LanguageJapanese
Published Japan 01.09.2005
Subjects
Aneurysm, Dissecting - complications
Aneurysm, Dissecting - surgery
Angioplasty, Balloon, Coronary
Aortic Aneurysm - complications
Aortic Aneurysm - surgery
Blood Vessel Prosthesis Implantation
Humans
Male
Middle Aged
Myocardial Infarction - complications
Myocardial Infarction - surgery
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Summary:Acute myocardial infarction, as a result of coronary malperfusion caused by acute type A aortic dissection, has been identified as one of significant factors relating to operative mortality. This complication could be diagnosed with a combination of electrocardiography and echocardiography in acute phase. However, the indication of coronary angiography and/or intervention has been controversial as it is time-consuming and renders additional stress to a critical patient requiring an emergency operation. We report a case of myocardial infarction successfully treated with percutaneous transluminal coronary angioplasty (PTCA) at first, after that, recognition of dissection of aorta necessitated subsequent surgical therapy. In this particular case, coronary intervention in advance proved to be mandatory.
ISSN:0021-5252