Composite Graft Replacement in Acute Aortic Dissection: Technique for Anastomosing the Right Coronary Artery without an Aortic Button

2004 ◽  
Vol 7 (6) ◽  
pp. E574-E576
Author(s):  
Riza Turkoz ◽  
Oner Gulcan
Keyword(s):  
Coronary Artery ◽  
Aortic Dissection ◽  
Right Coronary Artery ◽  
Acute Aortic Dissection ◽  
Composite Graft ◽  
Graft Replacement ◽  
The Right ◽  
Dissection Technique

Obstruction of the right coronary artery ostium due to acute aortic dissection

2009 ◽  
Vol 133 (1) ◽  
pp. 135-137
Author(s):  
Salvatore Patanè ◽  
Filippo Marte ◽  
Salvatore Lentini ◽  
Francesco Monaco ◽  
Sossio Perrotta ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Aortic Dissection ◽  
Right Coronary Artery ◽  
Acute Aortic Dissection ◽  
The Right

Acute Type-A Aortic Dissection with Obstruction of the Right Coronary Artery

2014 ◽  
Vol 17 (4) ◽  
pp. 196
Author(s):  
Erhan Kaya ◽  
Halit Yerebakan ◽  
Daniel Spielman ◽  
Omer Isik ◽  
Cevat Yakut
Keyword(s):  
Coronary Artery ◽  
Aortic Dissection ◽  
Right Coronary Artery ◽  
Type A ◽  
Sudden Onset ◽  
Acute Type ◽  
Type A Aortic Dissection ◽  
Coronary Syndrome ◽  
Bentall Procedure ◽  
The Right

Occlusion of a coronary artery by an acute type A aortic dissection presents a life-threatening emergency that is rarely seen and easy to misdiagnose. We present the case of a 75-year-old male who experienced sudden onset of severe left-sided chest pain due to an acute type A aortic dissection that obstructed the right coronary artery. Following an initial misdiagnosis of acute coronary syndrome, imaging revealed the presence of an aortic dissection. An emergency modified Bentall procedure was performed, in which the damaged aorta and aortic valve were replaced.

scholarly journals Aortic dissection during transoesophageal echocardiography: a case report

2020 ◽  
Author(s):  
Rin Hoshina ◽  
Hideyuki Kishima ◽  
Takanao Mine ◽  
Masaharu Ishihara
Keyword(s):  
Computed Tomography ◽  
Coronary Artery ◽  
Aortic Dissection ◽  
Right Coronary Artery ◽  
Bypass Graft ◽  
Transoesophageal Echocardiography ◽  
Ascending Aorta ◽  
Maximum Diameter ◽  
Abnormal Finding ◽  
The Right

Abstract Background Transoesophageal echocardiography (TOE) is a safe and useful tool. In our case, we are presenting a rare case of a patient with aortic dissection during TOE procedure. Case summary A 79-year-old woman was referred to our hospital for recurrent paroxysmal atrial fibrillation (AF) with palpitation. Pre-procedural cardiac computed tomography (CT) showed slight dilated ascending aorta (maximum diameter: 40 mm). We decided to perform catheter ablation (CA) for AF, and recommended TOE before the CA because she had a CHADS2 score of 4. On the day before the CA, TOE was performed. Her physical examinations at the time of TOE procedure were unremarkable. At 3 min after probe insertion, there was no abnormal finding of the ascending aorta. At 5 min after the insertion, TOE showed ascending aortic dissection without pericardial effusion. After waking, she had severe back pain and underwent a contrast-enhanced CT. Computed tomography demonstrated Stanford type A aortic dissection extending from the aortic root to the bifurcation of common iliac arteries, and tight stenosis in the right coronary artery (maximum diameter; 49 mm). The patient underwent a replacement of the ascending aorta, and a coronary artery bypass graft surgery for the right coronary artery. Discussion Transoesophageal echocardiography would have to be performed under sufficient sedation with continuous blood pressure monitoring in patients who have risk factors of aortic dissection. The risk–benefit of TOE must be considered before a decision is made. Depending on the situation, another modality instead of TOE might be required.

Acute aortic dissection with ongoing right coronary artery and aortic valve involvement

2012 ◽  
Vol 161 (2) ◽  
pp. e34-e36 ◽  
Author(s):  
Rodrigo Fernández-Jiménez ◽  
David Vivas ◽  
José Alberto de Agustín ◽  
Andrea Kallmeyer ◽  
Enrique Balbacid ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Aortic Valve ◽  
Aortic Dissection ◽  
Right Coronary Artery ◽  
Acute Aortic Dissection

scholarly journals A case of right ventricular infarction due to acute Type A aortic dissection with anomalous aortic origin of the right coronary artery from the left sinus of Valsalva

2021 ◽  
Author(s):  
Yojiro Machii ◽  
Naohiro Shimada ◽  
Takashi Okamoto ◽  
Masashi Tanaka
Keyword(s):  
Coronary Artery ◽  
Aortic Dissection ◽  
Right Ventricular ◽  
Right Coronary Artery ◽  
Acute Type ◽  
Sinus Of Valsalva ◽  
Right Ventricular Infarction ◽  
Ventricular Infarction ◽  
The Right ◽  
Left Sinus Of Valsalva

Anomalous aortic origin of a coronary artery from the opposite sinus is a rare congenital condition that can cause sudden death in young people. When it is associated with acute aortic dissection, acute myocardial infarction can occur due to enlargement of the sinus of Valsalva. We report the case of a 71-year-old man with anomalous origin of the right coronary artery from the left sinus of Valsalva, who developed right ventricular infarction due to the compression of the right coronary artery between the aorta and pulmonary artery trunk.

scholarly journals Acute Myocardial Infarction Caused by Extension of a Proximal Aortic Dissection Flap Into the Right Coronary Artery

Circulation ◽  
2006 ◽  
Vol 113 (13) ◽  
Author(s):  
Sang-Hoon Na ◽  
Tae-Jin Youn ◽  
Young-Seok Cho ◽  
Cheong Lim ◽  
Woo-Young Chung ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Coronary Artery ◽  
Aortic Dissection ◽  
Right Coronary Artery ◽  
The Right
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