Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
2007-6-26
pubmed:abstractText
A 69-year-old man was transferred to our hospital with a diagnosis of acute type A aortic dissection. In the emergent operation, the dissection was found to extend to the orifice of the left coronary artery, but not to the coronary artery itself. The false lumen was closed using glue and sutures with felt strips, and graft replacement of the ascending aorta was performed. However, signs of myocardial ischemia were present after the operation, and the patient's condition continued to be unstable, even though intraaortic balloon pumping was initiated. A coronary angiogram and intravascular ultrasound performed three hours after the operation revealed a left main trunk stenosis due to pulsatile compression of the false lumen, which was caused by the extension of dissection. A coronary artery stent was subsequently deployed in the left main trunk. The patient was discharged four weeks later in a stable condition, although with segmental asynergy of wall motion, due to myocardial damage.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Jun
pubmed:issn
1341-1098
pubmed:author
pubmed:issnType
Print
pubmed:volume
13
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
209-12
pubmed:meshHeading
pubmed:year
2007
pubmed:articleTitle
Progression of left coronary artery dissection during and after aortic replacement in acute type A aortic dissection: a case report.
pubmed:affiliation
Department of Cardiovascular Surgery, Sakurabashi Watanabe Hospital, Osaka, Japan.
pubmed:publicationType
Journal Article, Case Reports