Acute Type A Aortic Dissection Involving the Left Main Trunk of the Coronary Artery
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- Tominaga Ryuji
- Department of Cardiovascular Surgery, Kyushu University Faculty of Medicine
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- Tomita Yukihiro
- Department of Cardiovascular Surgery, Kyushu University Faculty of Medicine
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- Toshima Yosihiro
- Department of Cardiovascular Surgery, Kyushu University Faculty of Medicine
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- Nishimura Yousuke
- Department of Cardiovascular Surgery, Kyushu University Faculty of Medicine
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- Kurisu Kazuhiro
- Department of Cardiovascular Surgery, Kyushu University Faculty of Medicine
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- Morita Shigeki
- Department of Cardiovascular Surgery, Kyushu University Faculty of Medicine
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- Masuda Munetaka
- Department of Cardiovascular Surgery, Kyushu University Faculty of Medicine
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- Yasui Hisataka
- Department of Cardiovascular Surgery, Kyushu University Faculty of Medicine
書誌事項
- タイトル別名
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- A Report of Two Successful Cases
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説明
This report describes 2 cases of a type A acute aortic dissection combined with myocardial infarction caused by a retrograde dissection into the left main trunk of the coronary artery. Successful surgical treatments, including the replacement of the ascending aorta, aortic valve resuspension and coronary artery bypass grafting, were performed in both patients, and they recovered well from cardiogenic shock. However, left ventricular function of both patients remained depressed postoperatively, which limited their quality of life. Because no definite method for salvaging infarcted myocardium has yet been established, either more timely surgery or the preoperative placement of a perfusion catheter in the left main coronary artery is mandatory. (Jpn Circ J 1999; 63: 722 - 724)
収録刊行物
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- JAPANESE CIRCULATION JOURNAL
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JAPANESE CIRCULATION JOURNAL 63 (9), 722-724, 1999
一般社団法人 日本循環器学会