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Type A aortic dissection with left coronary malperfusion

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Left coronary artery malperfusion is a fatal complication of acute type A aortic dissection. However, effective treatment strategies have not yet been established. Herein, we report two cases of left… Click to show full abstract

Left coronary artery malperfusion is a fatal complication of acute type A aortic dissection. However, effective treatment strategies have not yet been established. Herein, we report two cases of left coronary artery malperfusion successfully treated with different preoperative catheter interventions, followed by a central aortic repair. Preoperative coronary intervention ensuring the blood flow to the left coronary artery might be essential if a coronary angiogram was performed prior to the diagnosis and treatment.

Keywords: left coronary; malperfusion; type aortic; aortic dissection

Journal Title: General Thoracic and Cardiovascular Surgery
Year Published: 2021

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