Percutaneous coronary intervention is a useful bridge treatment for acute myocardial infarction due to acute type A aortic dissection
Tóm tắt
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.
Tài liệu tham khảo
Neri E, Toscano T, Papalia U, Frati G, Massetti M, Capannini G, et al. Proximal aortic dissection with coronary malperfusion: presentation, management, and outcome. J Thorac Cardiovasc Surg. 2001;121:552–60.
Mészáros I, Mórocz J, Szlávi J, Schmidt J, Tornóci L, Nagy L, et al. Epidemiology and clinicopathology of aortic dissection. Chest. 2000;117:1271–8.
Hirst AE Jr, Johns VJ Jr, Kime SW Jr. Dissecting aneurysm of the aorta: a review of 505 cases. Medicine (Baltimore). 1958;37:217–79.
Hiratzka LF, Bakris GL, Beckman JA, Bersin RM, Carr VF, Casey DE Jr, et al. 2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM guidelines for the diagnosis and management of patients with thoracic aortic disease: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines, American Association for Thoracic Surgery, American College of Radiology, American Stroke Association, Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, Society of Interventional Radiology, Society of Thoracic Surgeons, and Society for Vascular Medicine. Circulation. 2010;121:e266–369.
Spittell PC, Spittell JA Jr, Joyce JW, Tajik AJ, Edwards WD, Schaff HV, et al. Clinical features and differential diagnosis of aortic dissection: experience with 236 cases (1980 through 1990). Mayo Clin Proc. 1993;68:642–51.
Barabas M, Gosselin G, Crepeau J, Petitclerc R, Cartier R, Theroux P. Left main stenting—as a bridge to surgery—for acute type A aortic dissection and anterior myocardial infarction. Catheter Cardiovasc Interv. 2000;51:74–7.
Ohara Y, Hiasa Y, Hosokawa S. Successful treatment in a case of acute aortic dissection complicated with acute myocardial infarction due to occlusion of the left main coronary artery. J Invasive Cardiol. 2003;15:660–2.
Cardozo C, Riadh R, Mazen M. Acute myocardial infarction due to left main compression aortic dissection treated by direct stenting. J Invasive Cardiol. 2004;16:89–91.
Kwon YS, Lee HS, Shin JK, Chang BJ, Kim HS, Shin SC, et al. A case of left main coronary stenting for acute myocardial infarction complicated by ascending aortic dissection. Korean Circ J. 2004;34:1210–5.
Imoto K, Uchida K, Suzuki S, Isoda S, Karube N, Kimura K. Stenting of a left main coronary artery dissection and stent-graft implantation for acute type a aortic dissection. J Endovasc Ther. 2005;12:258–61.
Na SH, Youn TJ, Cho YS, Lim C, Chung WY, Chae IH, et al. Acute myocardial infarction caused by extension of a proximal aortic dissection flap into the right coronary artery. Circulation. 2006;113:e669–71.
Ohnaka M, Nakayama S, Nonaka M, Inashima M. A successfully treated case of acute type A aortic dissection with right coronary dissection. Jpn J Vasc Surg. 2007;16:583–7 [in Japanese].
Hatakeyama M, Takahara Y, Mogi K, Kabasawa M. Acute type A aortic dissection with acute left main coronary trunk occlusion: a case report of left main stenting as a bridge surgery. Jpn J Cardiovasc Surg. 2008;37:353–7 [in Japanese].
Camaro C, Wouters NT, Gin MT, Bosker HA. Acute myocardial infarction with cardiogenic shock in a patient with acute aortic dissection. Am J Emerg Med. 2009;27(899):e3–6.
Sir JJ, Kim YI, Cho WH, Choi SK. Acute myocardial infarction due to aortic dissection. Intern Med. 2009;48:173.
Nakamura M, Yamagishi M, Ueno T, Hara K, Ishiwata S, Itho T, et al. Current treatment of ST elevation acute myocardial infarction in Japan: door-to-balloon time and total ischemic time from the J-AMI registry. Cardiovasc Interv Ther. 2013;28:30–6.
Bonser RS, Ranasinghe AM, Loubani M, Evans JD, Thalji NMA, Bachet JE, et al. Evidence, lack of evidence, controversy, and debate in the provision and performance of the surgery of acute type A aortic dissection. J Am Coll Cardiol. 2011;58:2455–74.
Kaji S, Akasaka T, Horibata Y, Nishigami K, Shono H, Katayama M, et al. Long-term prognosis of patients with type A aortic intramural hematoma. Circulation. 2002;106:I248–52.
Ikari Y, Hara K, Tamura T, Hara H, Saeki F, Kikawa I, et al. Intracoronary stenting of a coronary occlusion resulting from an aortic dissection. Cather Cardiovasc Diagn. 1995;36:160–3.
Origuchi N, Ohkawa S, Esaki Y, Yoshida Y, Shigematsu H. Rare complication of saccular aneurysm and histological dissection: an autopsy study of 5865 elderly cases. Jpn Heart J. 2001;42:597–606.
Akutagawa O, Kijima Y, Nakagawa Y, Hata T, Ishizaka T, Takahashi T. Acute coronary occlusion by injured aortic valve during percutaneous coronary intervention. Cardiovasc Interv Ther. 2012;27:43–6.