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A Complete Occlusion of Right Coronary Artery Due to Stanford Type A Aortic Dissection - Successful Treatment with Extracorporeal Membrane Oxygenation (ECMO)
We present a patient diagnosed Stanford Type A aortic dissection, who was misdiagnosed as acute myocardial infarction for 5 days. In the surgery, the right coronary ostium was totally occluded, and the right coronary artery (RCA) was bluish from the trunk to branches. The true lumen couldn’t be foun...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Sociedade Brasileira de Cirurgia Cardiovascular
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6713360/ https://www.ncbi.nlm.nih.gov/pubmed/31454206 http://dx.doi.org/10.21470/1678-9741-2018-0060 |
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author | Wang, Yong Zhu, Zhicheng Xu, Rihao Li, Dan Wang, Tiance Liu, Kexiang |
author_facet | Wang, Yong Zhu, Zhicheng Xu, Rihao Li, Dan Wang, Tiance Liu, Kexiang |
author_sort | Wang, Yong |
collection | PubMed |
description | We present a patient diagnosed Stanford Type A aortic dissection, who was misdiagnosed as acute myocardial infarction for 5 days. In the surgery, the right coronary ostium was totally occluded, and the right coronary artery (RCA) was bluish from the trunk to branches. The true lumen couldn’t be found when we opened the RCA. We had to give up coronary artery bypass grafting (CABG). After a regular surgery of type A aortic dissection, the patient was failed to wean from cardiopulmonary bypass due to the right heart dysfunction. The Extracorporeal membrane oxygenation (ECMO) was instituted. The right ventricular wall motion was gradually improved during the post-operation period. This is the first report of using ECMO to successfully treat a complete occlusion of the right coronary artery due to a Type A aortic dissection. This case demonstrates the value of ECMO in assisting right heart function to ensure stable hemodynamics and myocardial recovery in the type A aortic dissection with coronary involvement. |
format | Online Article Text |
id | pubmed-6713360 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Sociedade Brasileira de Cirurgia Cardiovascular |
record_format | MEDLINE/PubMed |
spelling | pubmed-67133602019-09-03 A Complete Occlusion of Right Coronary Artery Due to Stanford Type A Aortic Dissection - Successful Treatment with Extracorporeal Membrane Oxygenation (ECMO) Wang, Yong Zhu, Zhicheng Xu, Rihao Li, Dan Wang, Tiance Liu, Kexiang Braz J Cardiovasc Surg Case Report We present a patient diagnosed Stanford Type A aortic dissection, who was misdiagnosed as acute myocardial infarction for 5 days. In the surgery, the right coronary ostium was totally occluded, and the right coronary artery (RCA) was bluish from the trunk to branches. The true lumen couldn’t be found when we opened the RCA. We had to give up coronary artery bypass grafting (CABG). After a regular surgery of type A aortic dissection, the patient was failed to wean from cardiopulmonary bypass due to the right heart dysfunction. The Extracorporeal membrane oxygenation (ECMO) was instituted. The right ventricular wall motion was gradually improved during the post-operation period. This is the first report of using ECMO to successfully treat a complete occlusion of the right coronary artery due to a Type A aortic dissection. This case demonstrates the value of ECMO in assisting right heart function to ensure stable hemodynamics and myocardial recovery in the type A aortic dissection with coronary involvement. Sociedade Brasileira de Cirurgia Cardiovascular 2019 /pmc/articles/PMC6713360/ /pubmed/31454206 http://dx.doi.org/10.21470/1678-9741-2018-0060 Text en http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Wang, Yong Zhu, Zhicheng Xu, Rihao Li, Dan Wang, Tiance Liu, Kexiang A Complete Occlusion of Right Coronary Artery Due to Stanford Type A Aortic Dissection - Successful Treatment with Extracorporeal Membrane Oxygenation (ECMO) |
title | A Complete Occlusion of Right Coronary Artery Due to Stanford Type A
Aortic Dissection - Successful Treatment with Extracorporeal Membrane
Oxygenation (ECMO) |
title_full | A Complete Occlusion of Right Coronary Artery Due to Stanford Type A
Aortic Dissection - Successful Treatment with Extracorporeal Membrane
Oxygenation (ECMO) |
title_fullStr | A Complete Occlusion of Right Coronary Artery Due to Stanford Type A
Aortic Dissection - Successful Treatment with Extracorporeal Membrane
Oxygenation (ECMO) |
title_full_unstemmed | A Complete Occlusion of Right Coronary Artery Due to Stanford Type A
Aortic Dissection - Successful Treatment with Extracorporeal Membrane
Oxygenation (ECMO) |
title_short | A Complete Occlusion of Right Coronary Artery Due to Stanford Type A
Aortic Dissection - Successful Treatment with Extracorporeal Membrane
Oxygenation (ECMO) |
title_sort | complete occlusion of right coronary artery due to stanford type a
aortic dissection - successful treatment with extracorporeal membrane
oxygenation (ecmo) |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6713360/ https://www.ncbi.nlm.nih.gov/pubmed/31454206 http://dx.doi.org/10.21470/1678-9741-2018-0060 |
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