Successful treatment of a case of acute myocardial infarction due to type A aortic dissection by coronary artery stenting: A case report

Wang, Zhenggui; Zhao, Wei; Shen, Botao; Zheng, Yang; Liu, Quan

doi:10.3892/etm.2015.2533

Cited by 4 publications

(2 citation statements)

References 10 publications

(9 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Routine coronary angiography in these patients is still controversial. In the studies performed, no significant difference was found between the patients who underwent preoperative coronary angiography and those who did not undergo mortality, length of stay and discharge 6 . Surgical techniques such as Bentall, David or Cabrol can be applied depending on the involvement of the aortic valve and the distance of the flap to the coronary ostium 7 .…”

Section: Discussionmentioning

confidence: 86%

Is Computed Tomography the Gold Standard in Aortic Dissection?

Tatar

İçli̇

Akıllı

et al. 2020

Journal of Emergency Medicine Case Reports

View full text Add to dashboard Cite

Introduction: Aortic dissection is a disease with high mortality, which is characterized by a tear in the aortic wall. Thanks to early diagnosis and treatment, patients' survival rates are high. Chest pain is the most common symptom. Imaging methods help in diagnosis. Its treatment is surgery.Case Report: A 47-year-old male patient was admitted to the emergency department with chest pain. The diagnosis of aortic dissection in computed tomography was evaluated as motion artifact and valve motion, and he was asked to be discharged from the emergency service after his diagnosis was missed. However, transesophageal echocardiography was performed because of the patient's clinical symptom and echocardiographic findings supported the aortic dissection. When a dissection flap was seen in transesophageal echocardiography, the patient was transferred to surgery. In surgery, a dacron graft was placed in the patient's aorta and a prosthetic valve was placed on the aortic valve, and left main coronary repair and right coronary is bypass were performed. The patient was discharged without any problem. Conclusion:Aortic dissection is a clinical diagnosis, it is a disease with high mortality. Imaging methods are helpful in diagnosis, but the fact that imaging methods rule out dissection does not always rule out the disease. The important thing is to suspect the disease and to consider the patient's current clinical symptoms and signs.

show abstract

Section: Discussionmentioning

confidence: 86%

Is Computed Tomography the Gold Standard in Aortic Dissection?

Tatar

İçli̇

Akıllı

et al. 2020

Journal of Emergency Medicine Case Reports

View full text Add to dashboard Cite

show abstract

“…This can be considered another safe answer in similar situations. Wang et al presented a case with successful treatment of acute myocardial infarction due to type A aortic dissection by right coronary artery stenting [Wang 2015]. Thus, given the unstable hemodynamic condition, due overt myocardial ischemia, reestablishing blood flow by cardiac catheterization stenting also is reasonable.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Coronary Intervention as a Bridge Therapy for Aortic Dissection Related Bilateral Coronary Malperfusion: A Case Report

Chung¹,

Huang²,

Lee³

2023

HSF

View full text Add to dashboard Cite

Dealing with coronary arteries caused by aortic dissection remains a great challenge in the treatment of aortic dissection. Here, we present the case of a 57-year-old woman, who initially detected chest pain, and electrocardiography showed ST-elevation myocardial infarction. After the primary percutaneous coronary intervention, aortic dissection was accidentally detected. She then received central repair and had a satisfactory outcome. We proved that percutaneous coronary intervention as a bridge therapy for aortic dissection-related coronary malperfusion might be efficient.

show abstract

De Winter electrocardiogram pattern due to type A aortic dissection: a case report

Zhang

Yang

et al. 2022

BMC Cardiovasc Disord

View full text Add to dashboard Cite

Background De Winter electrocardiograph (ECG) pattern is an atypical presentation of acute myocardial infarction (AMI) due to severe stenosis of the left anterior descending (LAD). Complications of acute aortic dissection (AD) in the setting of acute myocardial infarction (AMI) with de Winter sign are relatively rare and physicians may easily miss the diagnosis of AD. We report a case of patient with acute chest pain and de Winter ECG pattern due to AD involving the left main coronary artery (LM), LAD and left circumflex artery (LCX). Case presentation A 57-year-old male patient was initially diagnosed with AMI and then the diagnosis of acute AD was supported by transthoracic echocardiograph (TTE). After two stents were implanted respectively into the proximal LM-LAD and LM-LCX, he recovered from cardiogenic shock. Two months later, the patient underwent the surgery of ascending aorta replacement. After the surgery, there was no obvious chest discomfort during follow-up. Conclusions When an ECG shows a “de Winter pattern”, we should also consider the possibility of AD which result in LAD occlusion. TTE is a useful tool in screening for AD. Further research is needed to prove that percutaneous coronary intervention (PCI) may be a useful treatment strategy in the case of AD leading to severe LAD occlusion and unstable hemodynamics when there’s no condition to perform aortic replacement surgery immediately.

show abstract

Successful treatment of a case of acute myocardial infarction due to type A aortic dissection by coronary artery stenting: A case report

Cited by 4 publications

References 10 publications

Is Computed Tomography the Gold Standard in Aortic Dissection?

Is Computed Tomography the Gold Standard in Aortic Dissection?

Percutaneous Coronary Intervention as a Bridge Therapy for Aortic Dissection Related Bilateral Coronary Malperfusion: A Case Report

De Winter electrocardiogram pattern due to type A aortic dissection: a case report

Contact Info

Product

Resources

About