Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, 6-1 Kishibe-shimmachi, Suita, Osaka, 564-8565, Japan.
Department of Cardiology, Takarazuka Hospital, Takarazuka, Japan.
Gen Thorac Cardiovasc Surg. 2022 Feb;70(2):178-180. doi: 10.1007/s11748-021-01728-9. Epub 2021 Oct 30.
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.
左冠状动脉灌注不良是急性A型主动脉夹层的致命并发症。然而，尚未建立有效的治疗策略。在此，我们报告两例通过不同的术前导管介入治疗成功治疗的左冠状动脉灌注不良病例，随后进行了主动脉中部修复。如果在诊断和治疗前进行冠状动脉造影，确保左冠状动脉血流的术前冠状动脉介入可能是至关重要的。
