| Autor: |
Fuyuki, Asami, Kazuo, Yamamoto, Masatake, Katsu, Yuuki, Okamoto, Eiichi, Ooba, Yuuki, Takesue, Maiko, Umezawa, Taiki, Sato, Shinpei, Yoshii |
| Rok vydání: |
2022 |
| Předmět: |
|
| Zdroj: |
Kyobu geka. The Japanese journal of thoracic surgery. 75(9) |
| ISSN: |
0021-5252 |
| Popis: |
A 58-year-old man was admitted to our institution with sudden onset of hypotension and acute ischemia of left lower extremity. Electrocardiography showed ST segment elevation in leads V1~V6 and a transthoracic echocardiogram revealed antero-septal wall hypokinesis. He was given a diagnosis of acute myocardial infarction caused by left main coronary artery compression due to acute aortic dissection by enhanced computed tomography. We implanted a stent in the left main coronary artery and performed right external iliac-left femoral arterial bypass under general anesthesia. We performed a conventional total arch replacement and frozen elephant trunk and mitral valve repair at day 16. His postoperative course was good. Implantation of a left main trunk stent is an effective strategy for Stanford type A acute aortic dissection with left main coronary arterial occlusion before surgical repair. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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