Direct Repair of Localized Aortic Dissection with Critical Malperfusion of the Left Main Trunk

Background: Localized aortic dissection on the left coronary cusp with critical malperfusion of the left main trunk (LMT) is rare and carries a high risk of death. Case presentation: We report a case of a 48-year-old patient who developed localized aortic dissection of the left coronary cusp complic...

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Autores principales: Fujiyoshi, Toshiki, Koizumi, Nobusato, Nishibe, Toshiya, Sugiyama, Kayo, Ogino, Hitoshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Editorial Committee of Annals of Thoracic and Cardiovascular Surgery 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6300423/
https://www.ncbi.nlm.nih.gov/pubmed/29386473
http://dx.doi.org/10.5761/atcs.cr.17-00140
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author Fujiyoshi, Toshiki
Koizumi, Nobusato
Nishibe, Toshiya
Sugiyama, Kayo
Ogino, Hitoshi
author_facet Fujiyoshi, Toshiki
Koizumi, Nobusato
Nishibe, Toshiya
Sugiyama, Kayo
Ogino, Hitoshi
author_sort Fujiyoshi, Toshiki
collection PubMed
description Background: Localized aortic dissection on the left coronary cusp with critical malperfusion of the left main trunk (LMT) is rare and carries a high risk of death. Case presentation: We report a case of a 48-year-old patient who developed localized aortic dissection of the left coronary cusp complicated by critical malperfusion of the LMT of the coronary artery. After percutaneous coronary intervention (PCI) for the LMT, a Koster–Collins-like direct repair of the localized aortic dissection was carried out by closure of the false channel using BioGlue (CyroLife, Inc., Kennesaw, GA, USA) with the reinforcement of double Teflon felt strips. Conclusion: The aortic repair using a modified Koster–Collins technique was successful.
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spelling pubmed-63004232019-01-31 Direct Repair of Localized Aortic Dissection with Critical Malperfusion of the Left Main Trunk Fujiyoshi, Toshiki Koizumi, Nobusato Nishibe, Toshiya Sugiyama, Kayo Ogino, Hitoshi Ann Thorac Cardiovasc Surg Case Report Background: Localized aortic dissection on the left coronary cusp with critical malperfusion of the left main trunk (LMT) is rare and carries a high risk of death. Case presentation: We report a case of a 48-year-old patient who developed localized aortic dissection of the left coronary cusp complicated by critical malperfusion of the LMT of the coronary artery. After percutaneous coronary intervention (PCI) for the LMT, a Koster–Collins-like direct repair of the localized aortic dissection was carried out by closure of the false channel using BioGlue (CyroLife, Inc., Kennesaw, GA, USA) with the reinforcement of double Teflon felt strips. Conclusion: The aortic repair using a modified Koster–Collins technique was successful. The Editorial Committee of Annals of Thoracic and Cardiovascular Surgery 2018-01-30 2018 /pmc/articles/PMC6300423/ /pubmed/29386473 http://dx.doi.org/10.5761/atcs.cr.17-00140 Text en ©2018 The Editorial Committee of Annals of Thoracic and Cardiovascular Surgery http://creativecommons.org/licenses/by-nc-nd/4.0/ This work is licensed under a Creative Commons Attribution-NonCommercial-NonDerivatives International License (http://creativecommons.org/licenses/by-nc-nd/4.0/)
spellingShingle Case Report
Fujiyoshi, Toshiki
Koizumi, Nobusato
Nishibe, Toshiya
Sugiyama, Kayo
Ogino, Hitoshi
Direct Repair of Localized Aortic Dissection with Critical Malperfusion of the Left Main Trunk
title Direct Repair of Localized Aortic Dissection with Critical Malperfusion of the Left Main Trunk
title_full Direct Repair of Localized Aortic Dissection with Critical Malperfusion of the Left Main Trunk
title_fullStr Direct Repair of Localized Aortic Dissection with Critical Malperfusion of the Left Main Trunk
title_full_unstemmed Direct Repair of Localized Aortic Dissection with Critical Malperfusion of the Left Main Trunk
title_short Direct Repair of Localized Aortic Dissection with Critical Malperfusion of the Left Main Trunk
title_sort direct repair of localized aortic dissection with critical malperfusion of the left main trunk
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6300423/
https://www.ncbi.nlm.nih.gov/pubmed/29386473
http://dx.doi.org/10.5761/atcs.cr.17-00140
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