Kaya Erhan, Yerebakan Halit, Spielman Daniel, Isik Omer, Yakut Cevat
Özel Pendik Bölge Hastanesi, Pendik, Istanbul, Turkey.
New York Presbyterian Hospital, Division of Cardiothoracic Surgery, College of Physicians & Surgeons of Columbia University, New York, New York, USA.
Heart Surg Forum. 2014 Aug;17(4):E196-7. doi: 10.1532/HSF98.2013246.
Occlusion of a coronary artery by an acute type A aortic dissection presents a life-threatening emergency that is rarely seen and easy to misdiagnose. We present the case of a 75-year-old male who experienced sudden onset of severe left-sided chest pain due to an acute type A aortic dissection that obstructed the right coronary artery. Following an initial misdiagnosis of acute coronary syndrome, imaging revealed the presence of an aortic dissection. An emergency modified Bentall procedure was performed, in which the damaged aorta and aortic valve were replaced.
急性A型主动脉夹层导致冠状动脉闭塞是一种罕见且易误诊的危及生命的紧急情况。我们报告一例75岁男性病例，该患者因急性A型主动脉夹层阻塞右冠状动脉而突然出现严重左侧胸痛。最初误诊为急性冠状动脉综合征，经影像学检查发现主动脉夹层。随后进行了急诊改良Bentall手术，置换了受损的主动脉和主动脉瓣。
