Published in:
01-09-2021 | Echocardiography | Case Report
Early coronary reperfusion using only guidewires for acute type A aortic dissection
Published in: General Thoracic and Cardiovascular Surgery | Issue 9/2021
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Coronary malperfusion with acute type A aortic dissection is a fatal complication. It is controversial whether to prioritize central repair or coronary reperfusion. Lifesaving becomes even more difficult if a patient has pericardial haemorrhage. Herein, we report a case of acute type A aortic dissection associated with left coronary malperfusion and pericardial haemorrhage, wherein reperfusion of the left coronary artery was performed using only guidewires, and central repair could be performed without major delay. Coronary reperfusion using only guidewires can be a revolutionary therapeutic strategy for this disease.