Management of chronic Stanford type A aortic dissection combined with Neri type C coronary occlusion: a case report and literature review

While there are many reports on partial aortic root remodelling, it is rarely performed for chronic aortic dissection of the coronary artery. This case report describes a 71-year-old male patient with chronic aortic dissection who was admitted to hospital due to repeated palpitations and chest distr...

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Main Authors: Tiansheng Tang, Ziao Wang, Wei Zhou, Hai Wang, Hanjun Zhang, Ayu Sun, Jun Wei, Weiyong Sheng, Dafa Zhang
Format: Article
Language:English
Published: SAGE Publishing 2023-04-01
Series:Journal of International Medical Research
Online Access:https://doi.org/10.1177/03000605231166505
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author Tiansheng Tang
Ziao Wang
Wei Zhou
Hai Wang
Hanjun Zhang
Ayu Sun
Jun Wei
Weiyong Sheng
Dafa Zhang
author_facet Tiansheng Tang
Ziao Wang
Wei Zhou
Hai Wang
Hanjun Zhang
Ayu Sun
Jun Wei
Weiyong Sheng
Dafa Zhang
author_sort Tiansheng Tang
collection DOAJ
description While there are many reports on partial aortic root remodelling, it is rarely performed for chronic aortic dissection of the coronary artery. This case report describes a 71-year-old male patient with chronic aortic dissection who was admitted to hospital due to repeated palpitations and chest distress. He had a long-term occlusion of the right coronary artery and an abnormal origin of the left vertebral artery. A carefully planned surgical strategy was arranged for this patient, and the surgical experience is described and discussed herein. Briefly, the patient was treated by aortic root repair plus ascending aorta replacement plus Sun's procedure plus left vertebral artery graft implantation plus coronary artery bypass graft (right coronary artery to saphenous vein to innominate artery). At approximately 6 months following surgery, the patient had returned to normal living conditions without any reports of discomfort.
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spelling doaj.art-7859e5933be74f11bfb00d67975645e92023-04-28T06:33:55ZengSAGE PublishingJournal of International Medical Research1473-23002023-04-015110.1177/03000605231166505Management of chronic Stanford type A aortic dissection combined with Neri type C coronary occlusion: a case report and literature reviewTiansheng TangZiao WangWei ZhouHai WangHanjun ZhangAyu SunJun WeiWeiyong ShengDafa ZhangWhile there are many reports on partial aortic root remodelling, it is rarely performed for chronic aortic dissection of the coronary artery. This case report describes a 71-year-old male patient with chronic aortic dissection who was admitted to hospital due to repeated palpitations and chest distress. He had a long-term occlusion of the right coronary artery and an abnormal origin of the left vertebral artery. A carefully planned surgical strategy was arranged for this patient, and the surgical experience is described and discussed herein. Briefly, the patient was treated by aortic root repair plus ascending aorta replacement plus Sun's procedure plus left vertebral artery graft implantation plus coronary artery bypass graft (right coronary artery to saphenous vein to innominate artery). At approximately 6 months following surgery, the patient had returned to normal living conditions without any reports of discomfort.https://doi.org/10.1177/03000605231166505
spellingShingle Tiansheng Tang
Ziao Wang
Wei Zhou
Hai Wang
Hanjun Zhang
Ayu Sun
Jun Wei
Weiyong Sheng
Dafa Zhang
Management of chronic Stanford type A aortic dissection combined with Neri type C coronary occlusion: a case report and literature review
Journal of International Medical Research
title Management of chronic Stanford type A aortic dissection combined with Neri type C coronary occlusion: a case report and literature review
title_full Management of chronic Stanford type A aortic dissection combined with Neri type C coronary occlusion: a case report and literature review
title_fullStr Management of chronic Stanford type A aortic dissection combined with Neri type C coronary occlusion: a case report and literature review
title_full_unstemmed Management of chronic Stanford type A aortic dissection combined with Neri type C coronary occlusion: a case report and literature review
title_short Management of chronic Stanford type A aortic dissection combined with Neri type C coronary occlusion: a case report and literature review
title_sort management of chronic stanford type a aortic dissection combined with neri type c coronary occlusion a case report and literature review
url https://doi.org/10.1177/03000605231166505
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