Document Detail

Closure of the left main trunk of the coronary artery and total arch replacement in acute type A dissection during coronary angiography.
MedLine Citation:
PMID:  20103360     Owner:  NLM     Status:  MEDLINE    
A 64-year-old woman was complicated with acute type A dissection arising from the left main trunk during percutaneous coronary angiography. As the extent of dissection was localized in the ascending aorta, a bare-metal stent was inserted into the left main trunk to cover the entry of dissection. Two days after an angiography, the patient's hemodynamic status suddenly deteriorated. A computed tomographic scan showed expansion of a thrombosed false lumen severely compressing the true lumen. Emergency total arch replacement was performed, combined with ligation of the left main trunk and coronary artery bypass grafting. The patient recovered well without residual dissection in the sinus of Valsalva.
Yosuke Takahashi; Yasushi Tsutsumi; Osamu Monta; Keitaro Kohshi; Tomohiko Sakamoto; Hirokazu Ohashi
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  89     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-01-27     Completed Date:  2010-02-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  618-21     Citation Subset:  AIM; IM    
Copyright Information:
2010 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
Department of Cardiovascular Surgery, Fukui Cardiovascular Center, Fukui, Japan.
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MeSH Terms
Aneurysm, Dissecting / surgery*
Aorta, Thoracic / surgery*
Aortic Aneurysm, Thoracic / surgery*
Blood Vessel Prosthesis Implantation*
Coronary Angiography / adverse effects*
Coronary Artery Bypass*
Heart Atria / surgery
Heart Neoplasms / diagnosis,  surgery
Iatrogenic Disease
Middle Aged
Myxoma / diagnosis,  surgery
Sinus of Valsalva
Veins / transplantation

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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