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CC BY 4.0 · Aorta (Stamford) 2016; 04(04): 138-141
DOI: 10.12945/j.aorta.2016.16.017
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Early Coronary Thrombosis without ST-Segment Elevation Following Repair of Acute Aortic Dissection

Davide Carino
1   General and Specialist Surgery Department, Cardiac Surgery Unit, Parma General Hospital, Parma, Italy
,
Francesco Nicolini
1   General and Specialist Surgery Department, Cardiac Surgery Unit, Parma General Hospital, Parma, Italy
,
Giorgio Romano
1   General and Specialist Surgery Department, Cardiac Surgery Unit, Parma General Hospital, Parma, Italy
,
Matteo Ricci
1   General and Specialist Surgery Department, Cardiac Surgery Unit, Parma General Hospital, Parma, Italy
,
Tiziano Gherli
1   General and Specialist Surgery Department, Cardiac Surgery Unit, Parma General Hospital, Parma, Italy
› Author Affiliations
Further Information

Publication History

07 April 2016

21 June 2016

Publication Date:
24 September 2018 (online)

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Abstract

Acute coronary thrombosis after emergent surgery for acute Type A aortic dissection is a rare event that can remain undiagnosed in absence of typical electrocardiogram readings. We report a case of left anterior descending artery thrombosis without ST-segment elevation three days after surgical repair, which was successfully treated with angioplasty and stenting.

Key Words

Acute aortic dissection - Coronary thrombosis - Acute coronary syndrome
 

  • References

  • 1 Whitley W, Tanaka KA, Chen EP, Glas KE. Acute aortic dissection with intimal layer prolapse into the left ventricle. Anesth Analg 2007; 104: 774-776 . DOI: 10.1213/01.ane.0000256861.34798.63
    CrossrefPubMedGoogle Scholar
  • 2 Horszczaruk GJ, Roik MF, Kochman J. , et al. Aortic dissection involving ostium of right coronary artery as the reason of myocardial infarction. Eur Heart J 2006; 27: 518 . DOI: 10.1093/eurheartj/ehi525
    CrossrefPubMedGoogle Scholar
  • 3 Zegers ES, Gehlmann HR, Verheugt FW. Acute myocardial infarction due to an acute type A aortic dissection involving the left main coronary artery. Neth Heart J 2007; 15: 263-264 . DOI: 10.1007/BF03085996
    CrossrefPubMedGoogle Scholar
  • 4 Marchetti M, Scacciatella P, Di Rosa E, Rinaldi M, Marra S. Coronary Thrombosis and Type A Aortic Dissection. J Card Surg 2015; 30: 583-585 . DOI: 10.1111/jocs.12577
    CrossrefPubMedGoogle Scholar
  • 5 Hoschtitzky JA, Crawford L, Brack M, Au J. Acute coronary syndrome following repair of aortic dissection. Eur J Cardiothorac Surg 2004; 26: 860-862 . DOI: 10.1016/j.ejcts.2004.07.016
    CrossrefPubMedGoogle Scholar
  • 6 Tsukui H, Aomi S, Nishida H, Endo M, Koyanagi H. Ostial stenosis of coronary arteries after complete replacement of aortic root using gelatinresorcinol-formaldehyde glue. Ann Thorac Surg 2001; 72: 1733-1735 . DOI: 10.1016/S0003-4975(01)02566-8
    CrossrefPubMedGoogle Scholar