Coronary malperfusion in acute type A aortic dissection
To the Editor, Coronary malperfusion in patients with aortic dissection further worsens prognosis due to compromised myocardial blood flow. The incidence rate of coronary disease goes from 9% to 10% according to various registries.1,2 Also, it can occur simultaneously at the beginning of dissection,...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Permanyer
2023-11-01
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| Series: | REC: Interventional Cardiology (English Ed.) |
| Online Access: | https://recintervcardiol.org/en/index.php?option=com_content&view=article&id=1131 |
| _version_ | 1797634608212213760 |
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| author | Cristina Morante Perea Tomás Cantón Rubio Luis Manuel Hernando Romero José Alfonso Buendía Miñano José Moreu Burgos Luis Rodríguez Padial |
| author_facet | Cristina Morante Perea Tomás Cantón Rubio Luis Manuel Hernando Romero José Alfonso Buendía Miñano José Moreu Burgos Luis Rodríguez Padial |
| author_sort | Cristina Morante Perea |
| collection | DOAJ |
| description | To the Editor, Coronary malperfusion in patients with aortic dissection further worsens prognosis due to compromised myocardial blood flow. The incidence rate of coronary disease goes from 9% to 10% according to various registries.1,2 Also, it can occur simultaneously at the beginning of dissection, during the patient transfer or in the middle of surgery. The management of these patients is still a matter of discussion. The optimal time of myocardial reperfusion is 90 min, a timeframe that cannot be guaranteed with surgical revascularization associated with aortic valve repair surgery. This is the case of a 65-year-old man. The patient was a smoker with chronic kidney disease who was admitted to our center as a «myocardial infarction code» case due to suspected anterior ST-segment elevation acute coronary syndrome. The coronary angiography revealed the presence of a type A aortic dissection with coronary malperfusion due to left main coronary artery (LMCA) occlusion. The patient had reported to his tertiary referral center with a 30-min history of oppressive retrosternal chest pain. Upon arrival at the emergency room, he remained symptomatic and hemodynamically unstable (pale, sweaty, low arterial blood pressure levels, 60/40 mmHg). The electrocardiogram showed anterior ST-segment elevation and aVR changes, which is why the «myocardial... |
| first_indexed | 2024-03-11T12:10:56Z |
| format | Article |
| id | doaj.art-9b0c7ccdf0aa4ed58dcc7c3199ffcbaa |
| institution | Directory Open Access Journal |
| issn | 2604-7322 |
| language | English |
| last_indexed | 2024-03-11T12:10:56Z |
| publishDate | 2023-11-01 |
| publisher | Permanyer |
| record_format | Article |
| series | REC: Interventional Cardiology (English Ed.) |
| spelling | doaj.art-9b0c7ccdf0aa4ed58dcc7c3199ffcbaa2023-11-07T14:34:41ZengPermanyerREC: Interventional Cardiology (English Ed.)2604-73222023-11-015430630710.24875/RECICE.M23000392Coronary malperfusion in acute type A aortic dissectionCristina Morante Perea0Tomás Cantón Rubio1Luis Manuel Hernando Romero2José Alfonso Buendía Miñano3José Moreu Burgos4Luis Rodríguez Padial5Servicio de Cardiología, Hospital Universitario de Toledo, Toledo, SpainServicio de Cardiología, Hospital Universitario de Toledo, Toledo, SpainServicio de Cardiología, Hospital Universitario de Toledo, Toledo, SpainServicio de Cirugía Cardiaca, Hospital Universitario de Toledo, Toledo, SpainServicio de Cardiología, Hospital Universitario de Toledo, Toledo, SpainServicio de Cardiología, Hospital Universitario de Toledo, Toledo, SpainTo the Editor, Coronary malperfusion in patients with aortic dissection further worsens prognosis due to compromised myocardial blood flow. The incidence rate of coronary disease goes from 9% to 10% according to various registries.1,2 Also, it can occur simultaneously at the beginning of dissection, during the patient transfer or in the middle of surgery. The management of these patients is still a matter of discussion. The optimal time of myocardial reperfusion is 90 min, a timeframe that cannot be guaranteed with surgical revascularization associated with aortic valve repair surgery. This is the case of a 65-year-old man. The patient was a smoker with chronic kidney disease who was admitted to our center as a «myocardial infarction code» case due to suspected anterior ST-segment elevation acute coronary syndrome. The coronary angiography revealed the presence of a type A aortic dissection with coronary malperfusion due to left main coronary artery (LMCA) occlusion. The patient had reported to his tertiary referral center with a 30-min history of oppressive retrosternal chest pain. Upon arrival at the emergency room, he remained symptomatic and hemodynamically unstable (pale, sweaty, low arterial blood pressure levels, 60/40 mmHg). The electrocardiogram showed anterior ST-segment elevation and aVR changes, which is why the «myocardial...https://recintervcardiol.org/en/index.php?option=com_content&view=article&id=1131 |
| spellingShingle | Cristina Morante Perea Tomás Cantón Rubio Luis Manuel Hernando Romero José Alfonso Buendía Miñano José Moreu Burgos Luis Rodríguez Padial Coronary malperfusion in acute type A aortic dissection REC: Interventional Cardiology (English Ed.) |
| title | Coronary malperfusion in acute type A aortic dissection |
| title_full | Coronary malperfusion in acute type A aortic dissection |
| title_fullStr | Coronary malperfusion in acute type A aortic dissection |
| title_full_unstemmed | Coronary malperfusion in acute type A aortic dissection |
| title_short | Coronary malperfusion in acute type A aortic dissection |
| title_sort | coronary malperfusion in acute type a aortic dissection |
| url | https://recintervcardiol.org/en/index.php?option=com_content&view=article&id=1131 |
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