Acute type A aortic dissection involving the left main trunk of the coronary artery--a report of two successful cases
| Autor: | Munetaka Masuda, Hisataka Yasui, Yousuke Nishimura, Ryuji Tominaga, Yoshihiro Toshima, Shigeki Morita, Kazuhiro Kurisu, Yukihiro Tomita |
|---|---|
| Rok vydání: | 1999 |
| Předmět: |
Aortic valve
Male medicine.medical_specialty Physiology Myocardial Infarction Coronary Disease Dissection (medical) Left coronary artery Aneurysm medicine.artery Internal medicine Ascending aorta medicine Humans Myocardial infarction Coronary Artery Bypass Aortic dissection Aorta business.industry Middle Aged medicine.disease Surgery Aortic Aneurysm Aortic Dissection medicine.anatomical_structure Acute Disease cardiovascular system Cardiology Female Cardiology and Cardiovascular Medicine business |
| Zdroj: | Japanese circulation journal. 63(9) |
| ISSN: | 0047-1828 |
| Popis: | This report describes 2 cases of a type A acute aortic dissection combined with myocardial infarction caused by a retrograde dissection into the left main trunk of the coronary artery. Successful surgical treatments, including the replacement of the ascending aorta, aortic valve resuspension and coronary artery bypass grafting, were performed in both patients, and they recovered well from cardiogenic shock. However, left ventricular function of both patients remained depressed postoperatively, which limited their quality of life. Because no definite method for salvaging infarcted myocardium has yet been established, either more timely surgery or the preoperative placement of a perfusion catheter in the left main coronary artery is mandatory. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|