Coronary stenting with cardiogenic shock due to acute ascend
Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...
Get authentic, real-time news that helps you fight COVID-19 better.
Install PlexusMD App for doctors. It's free.
Introduction:
Acute myocardial infarction (AMI) concomitant with acute type A aortic dissection (TAAD) is associated with a high hospital mortality rate despite improvements in TAAD surgical outcomes. In particular, TAAD involving the left main coronary artery (LMCA) is a rare but lethal condition associated with low output syndrome, which results from extensive myocardial necrosis regardless of whether an aortic repair surgery is successful. Early coronary revascularization should be performed to minimize cardiac dysfunction. The treatment of dissected coronary arteries with stent implantation achieves prompt and adequate myocardial blood flow and helps prevent extensive myocardial damage. However, an accurate diagnosis of TAAD prior to treatment for AMI is difficult, particularly in patients with hemodynamic instability. Furthermore, percutaneous coronary intervention for LMCA obstruction due to TAAD is a complicated procedure unless the mechanism of the LMCA obstruction has been clarified. Here, we describe a case of successful coronary intervention under intravascular ultrasound (IVUS) guidance in a patient with shock due to an unusually localized TAAD with LMCA obstruction.....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4325300/
Like
Comment
Share