Emergency Rescue Endovascular Stent Grafting of Ascending Aorta to Relieve Life-Threatening Coronary Obstruction in a Case of Acute Aortic Dissection

Myocardial ischemia associated with acute aortic dissection is frequently a fatal complication, and the emergent management still remains a challenge. We report a patient with life-threatening myocardial ischemia due to acute aortic dissection managed by rescue stent grafting of the ascending aorta....

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Veröffentlicht in:	The Annals of thoracic surgery 2014-12, Vol.98 (6), p.e131-e133
Hauptverfasser:	Tauchi, Yuuya, MD, Tanioka, Hideki, MD, Kondoh, Haruhiko, MD, Satoh, Hisashi, MD, Matsuda, Hikaru, MD
Format:	Artikel
Sprache:	eng
Schlagworte:	Acute Disease Aged Aneurysm, Dissecting - complications Aneurysm, Dissecting - diagnostic imaging Aneurysm, Dissecting - surgery Aorta, Thoracic - surgery Aortic Aneurysm, Thoracic - complications Aortic Aneurysm, Thoracic - diagnostic imaging Aortic Aneurysm, Thoracic - surgery Cardiothoracic Surgery Coronary Angiography Coronary Occlusion - diagnostic imaging Coronary Occlusion - etiology Coronary Occlusion - surgery Electrocardiography Emergencies Endovascular Procedures - methods Female Follow-Up Studies Humans Stents Surgery Tomography, X-Ray Computed
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Zusammenfassung:	Myocardial ischemia associated with acute aortic dissection is frequently a fatal complication, and the emergent management still remains a challenge. We report a patient with life-threatening myocardial ischemia due to acute aortic dissection managed by rescue stent grafting of the ascending aorta. Coronary blood flow improved immediately with this endovascular procedure, hemodynamic status was ameliorated dramatically, followed by uneventful open repair.
ISSN:	0003-4975 1552-6259
DOI:	10.1016/j.athoracsur.2014.08.059