Abstract
Left coronary artery malperfusion is a fatal complication of acute type A aortic dissection. However, effective treatment strategies have not yet been established. Herein, we report two cases of left coronary artery malperfusion successfully treated with different preoperative catheter interventions, followed by a central aortic repair. Preoperative coronary intervention ensuring the blood flow to the left coronary artery might be essential if a coronary angiogram was performed prior to the diagnosis and treatment.
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Uchida K, Karube N, Minami T, Cho T, Matsuki Y, Nemoto H, et al. Treatment of coronary malperfusion in type A acute aortic dissection. Gen Thorac Cardiovasc Surg. 2018;66:621–5.
Imoto K, Uchida K, Karube N, Yasutsune T, Cho T, Kimura K, et al. Risk analysis and improvement of strategies in patients who have acute type A aortic dissection with coronary malperfusion. Eur J Cardiothorac Surg. 2013;44:419–25.
Sharma H, Vetrugno V, Khan SQ. Successful treatment of a spontaneous right coronary artery dissection with a 4-mm diameter cutting balloon: a case report. Eur Heart J Case Rep. 2019;3:1–6.
Cho T, Uchida K, Yasuda S, Matsuzawa Y, Kobayashi Y. Early coronary reperfusion using only guidewires for acute type A aortic dissection. Gen Thorac Cardiovasc Surg. 2021;69:1344–6.
O’Gara PT, Kushner FG, Ascheim DD, Casey DE, Chung MK, de Lemos JA, et al. American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. 2013 ACCF/AHA guideline for the management of ST-elevation myocardial infarction. Circulation. 2013;127:e362–425.
Ibanez B, James S, Agewall S, Antunes MJ, Bucciarelli-Ducci C, Bueno H, et al. 2017 ESC guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation: the Task Force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of ESC. Eur Heart J. 2018;39:119–77.
Kreibich M, Bavaria JE, Branchetti E, Brown CR, Chen Z, Khurshan F, et al. Management of patients with coronary artery malperfusion secondary to type A aortic dissection. Ann Thorac Surg. 2019;107:1174–80.
Tsagakis K, Konorza T, Dohle DS, Kottenberg E, Buck T, Thielmann M, et al. Hybrid operating room concept for combined diagnostics, intervention and surgery in acute type A dissection. Eur J Cardiothorac Surg. 2013;43:397–404.
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Noda, K., Inoue, Y., Matsuo, J. et al. Type A aortic dissection with left coronary malperfusion. Gen Thorac Cardiovasc Surg 70, 178–180 (2022). https://doi.org/10.1007/s11748-021-01728-9
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DOI: https://doi.org/10.1007/s11748-021-01728-9