Coronary stenting with cardiogenic shock due to acute ascending aortic dissection
A 65-year-old man developed chest pain under cardiogenic shock. Coronary angiography revealed severe stenosis from the ostium of the left main coronary artery(LMCA) to the left anterior descending artery(LAD). Intravascular ultrasound(IVUS) identified a large hematoma that originated from the aorta...
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| Veröffentlicht in: | World journal of cardiology 2015-02, Vol.7 (2), p.104-110 |
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| container_title | World journal of cardiology |
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| creator | Hanaki, Yuichi Yumoto, Kazuhiko I, Seigen Aoki, Hajime Fukuzawa, Tomoyuki Watanabe, Takahiro Kato, Kenichi |
| description | A 65-year-old man developed chest pain under cardiogenic shock. Coronary angiography revealed severe stenosis from the ostium of the left main coronary artery(LMCA) to the left anterior descending artery(LAD). Intravascular ultrasound(IVUS) identified a large hematoma that originated from the aorta and extended into the LAD, thereby compressing the true lumen. Type A aortic dissection(TAAD) that involved the LMCA was diagnosed by IVUS. Coronary stenting was performed via the LMCA to the proximal LAD, which resulted in coronary blood flow restoration and no further propagation of dissection. Elective surgical aortic repair was performed 2 wk after the stenting. LMCA stenting under IVUS guidance is effective for prompt diagnosis and precise stent deployment in patients with cardiogenic shock due to TAAD with LMCA dissection. |
| doi_str_mv | 10.4330/wjc.v7.i2.104 |
| format | Article |
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Coronary angiography revealed severe stenosis from the ostium of the left main coronary artery(LMCA) to the left anterior descending artery(LAD). Intravascular ultrasound(IVUS) identified a large hematoma that originated from the aorta and extended into the LAD, thereby compressing the true lumen. Type A aortic dissection(TAAD) that involved the LMCA was diagnosed by IVUS. Coronary stenting was performed via the LMCA to the proximal LAD, which resulted in coronary blood flow restoration and no further propagation of dissection. Elective surgical aortic repair was performed 2 wk after the stenting. LMCA stenting under IVUS guidance is effective for prompt diagnosis and precise stent deployment in patients with cardiogenic shock due to TAAD with LMCA dissection.</description><identifier>ISSN: 1949-8462</identifier><identifier>EISSN: 1949-8462</identifier><identifier>DOI: 10.4330/wjc.v7.i2.104</identifier><identifier>PMID: 25717358</identifier><language>eng</language><publisher>United States: Baishideng Publishing Group Inc</publisher><subject>Aortic ; artery ; Case Report ; coronary ; dissection ; infarction ; Intravascular ; Left ; main ; Myocardial ; stenting ; ultrasound</subject><ispartof>World journal of cardiology, 2015-02, Vol.7 (2), p.104-110</ispartof><rights>The Author(s) 2015. Published by Baishideng Publishing Group Inc. 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Coronary angiography revealed severe stenosis from the ostium of the left main coronary artery(LMCA) to the left anterior descending artery(LAD). Intravascular ultrasound(IVUS) identified a large hematoma that originated from the aorta and extended into the LAD, thereby compressing the true lumen. Type A aortic dissection(TAAD) that involved the LMCA was diagnosed by IVUS. Coronary stenting was performed via the LMCA to the proximal LAD, which resulted in coronary blood flow restoration and no further propagation of dissection. Elective surgical aortic repair was performed 2 wk after the stenting. LMCA stenting under IVUS guidance is effective for prompt diagnosis and precise stent deployment in patients with cardiogenic shock due to TAAD with LMCA dissection.</description><subject>Aortic</subject><subject>artery</subject><subject>Case Report</subject><subject>coronary</subject><subject>dissection</subject><subject>infarction</subject><subject>Intravascular</subject><subject>Left</subject><subject>main</subject><subject>Myocardial</subject><subject>stenting</subject><subject>ultrasound</subject><issn>1949-8462</issn><issn>1949-8462</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><recordid>eNpVkE9PAjEQxRujEYIcvZr9Art22-l29mJiiP8SEmOi56Z0u1CELW4XiN_eIkiwl06mv3lv-gi5zmkGnNPb7dxkG5k5luUUzkg_L6FMEQp2flL3yDCEOY0HQFLGLkmPCZlLLrBP3ka-9Y1uv5PQ2aZzzTTZum6WGN1Wzk9t40wSZt58JtXaJp1PtFl3NtHB2Kba0dq3XWQqF4I1nfPNFbmo9SLY4eEekI_Hh_fRczp-fXoZ3Y9Twxl2KQpOEcFiWUCB0lam5KyuOS2tAWsnWuPEAhdVISQWgsoCKshNjby2GibIB-Rur7taT5ZxPG7f6oVatW4Zv6O8dur_S-Nmauo3CjiL3jQKpHsB0_oQWlsfZ3OqdvGqGK_aSOVY7EDkb04Nj_RfmBHgB8GZb6ZfMZ0jg1ICYkkFBYRScMDfCoXgPyoAiGA</recordid><startdate>20150226</startdate><enddate>20150226</enddate><creator>Hanaki, Yuichi</creator><creator>Yumoto, Kazuhiko</creator><creator>I, Seigen</creator><creator>Aoki, Hajime</creator><creator>Fukuzawa, Tomoyuki</creator><creator>Watanabe, Takahiro</creator><creator>Kato, Kenichi</creator><general>Baishideng Publishing Group Inc</general><scope>2RA</scope><scope>92L</scope><scope>CQIGP</scope><scope>W91</scope><scope>~WA</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>5PM</scope></search><sort><creationdate>20150226</creationdate><title>Coronary stenting with cardiogenic shock due to acute ascending aortic dissection</title><author>Hanaki, Yuichi ; Yumoto, Kazuhiko ; I, Seigen ; Aoki, Hajime ; Fukuzawa, Tomoyuki ; Watanabe, Takahiro ; Kato, Kenichi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c328t-8530884e8964687edc932ff309ec4eebaa8be435d6578650764d41cf83fea4b83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Aortic</topic><topic>artery</topic><topic>Case Report</topic><topic>coronary</topic><topic>dissection</topic><topic>infarction</topic><topic>Intravascular</topic><topic>Left</topic><topic>main</topic><topic>Myocardial</topic><topic>stenting</topic><topic>ultrasound</topic><toplevel>online_resources</toplevel><creatorcontrib>Hanaki, Yuichi</creatorcontrib><creatorcontrib>Yumoto, Kazuhiko</creatorcontrib><creatorcontrib>I, Seigen</creatorcontrib><creatorcontrib>Aoki, Hajime</creatorcontrib><creatorcontrib>Fukuzawa, Tomoyuki</creatorcontrib><creatorcontrib>Watanabe, Takahiro</creatorcontrib><creatorcontrib>Kato, Kenichi</creatorcontrib><collection>中文科技期刊数据库</collection><collection>中文科技期刊数据库-CALIS站点</collection><collection>中文科技期刊数据库-7.0平台</collection><collection>中文科技期刊数据库-医药卫生</collection><collection>中文科技期刊数据库- 镜像站点</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>World journal of cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hanaki, Yuichi</au><au>Yumoto, Kazuhiko</au><au>I, Seigen</au><au>Aoki, Hajime</au><au>Fukuzawa, Tomoyuki</au><au>Watanabe, Takahiro</au><au>Kato, Kenichi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Coronary stenting with cardiogenic shock due to acute ascending aortic dissection</atitle><jtitle>World journal of cardiology</jtitle><addtitle>世界心脏病学杂志(电子版)(英文版)</addtitle><date>2015-02-26</date><risdate>2015</risdate><volume>7</volume><issue>2</issue><spage>104</spage><epage>110</epage><pages>104-110</pages><issn>1949-8462</issn><eissn>1949-8462</eissn><abstract>A 65-year-old man developed chest pain under cardiogenic shock. 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| fulltext | fulltext |
| identifier | ISSN: 1949-8462 |
| ispartof | World journal of cardiology, 2015-02, Vol.7 (2), p.104-110 |
| issn | 1949-8462 1949-8462 |
| language | eng |
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| source | Baishideng "World Journal of" online journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central |
| subjects | Aortic artery Case Report coronary dissection infarction Intravascular Left main Myocardial stenting ultrasound |
| title | Coronary stenting with cardiogenic shock due to acute ascending aortic dissection |
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