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Cardiovascular Intervention and Therapeutics

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01-01-2015 | Case Report

Percutaneous coronary intervention is a useful bridge treatment for acute myocardial infarction due to acute type A aortic dissection

Authors: Satoshi Kodera, Masayuki Ikeda, Kazutoshi Sato, Syunichi Kushida, Junji Kanda

Published in: Cardiovascular Intervention and Therapeutics | Issue 1/2015

Abstract

We report a 71-year-old woman with inferior acute myocardial infarction (AMI) due to type A acute aortic dissection. Emergency enhanced computed tomography (CT) did not show obvious aortic dissection. During emergency percutaneous coronary intervention (PCI), intravascular ultrasonography revealed type A aortic dissection. Hemodynamic stability was restored after PCI. 1 month later, CT revealed a sinus of Valsalva aneurysm, which was treated surgically. This case suggests that PCI could be a good initial treatment option for unstable patients with AMI due to type A aortic dissection. This is the first reported case of sinus of Valsalva aneurysm subsequent to aortic dissection.

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Title: Percutaneous coronary intervention is a useful bridge treatment for acute myocardial infarction due to acute type A aortic dissection
Authors: Satoshi Kodera
Masayuki Ikeda
Kazutoshi Sato
Syunichi Kushida
Junji Kanda
Publication date: 01-01-2015
Publisher: Springer Japan
Published in: Cardiovascular Intervention and Therapeutics / Issue 1/2015
Print ISSN: 1868-4300
Electronic ISSN: 1868-4297
DOI: https://doi.org/10.1007/s12928-014-0250-z

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