Coronary Malperfusion due to Flap Suffocation after Acute Type A Dissection Surgery
| Autor: | Tamizo Kimura, Tadaaki Maehara, Motohiko Osako, Nozomu Yamanaka, Shingo Nakamura, Susumu Isoda, Yuji Mashiko |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Male
Reoperation Pulmonary and Respiratory Medicine Cardiac Catheterization medicine.medical_specialty Aortography Asynergy medicine.medical_treatment Blood Pressure Coronary Disease Chest pain Blood Vessel Prosthesis Implantation Young Adult Coronary circulation Coronary Circulation Internal medicine medicine.artery Ascending aorta medicine Humans Cardiac catheterization Aortic dissection medicine.diagnostic_test business.industry Gastroenterology General Medicine medicine.disease Aortic Aneurysm Surgery Aortic Dissection Treatment Outcome medicine.anatomical_structure Acute Disease Heart catheterization cardiovascular system Cardiology medicine.symptom Cardiology and Cardiovascular Medicine business |
| Zdroj: | Annals of Thoracic and Cardiovascular Surgery. 18:144-147 |
| ISSN: | 2186-1005 1341-1098 |
| DOI: | 10.5761/atcs.cr.11.01707 |
| Popis: | A 24-year-old man presented with chest pain. He was diagnosed as having a type A acute aortic dissection and an annulo-aortic aneurysm. After emergency surgery for an aortic root replacement, his electrocardiogram showed ST-segment depression and T-wave inversion. Echocardiography showed asynergy of the left ventricle without coronary ostial pathology. Heart catheterization revealed no coronary stenosis, but the true lumen of the residual ascending aorta had extreme diastolic narrowing due to flap suffocation. This resulted in coronary malperfusion. The pullback pressure curve confirmed the mechanism. The patient underwent a surgical re-intervention for a total arch repair, which diminished the coronary malperfusion. At a follow-up appointment four years and four months later, the patient was doing well. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|