التفاصيل البيبلوغرافية
| العنوان: |
Preoperative management using Impella support for acute aortic dissection with left coronary malperfusion: a case report |
| المؤلفون: |
Takahiro Shojima, Kazuyoshi Takagi, Kosuke Saku, Tomofumi Fukuda, Eiki Tayama |
| المصدر: |
The Egyptian Heart Journal, Vol 76, Iss 1, Pp 1-4 (2024) |
| بيانات النشر: |
SpringerOpen, 2024. |
| سنة النشر: |
2024 |
| المجموعة: |
LCC:Diseases of the circulatory (Cardiovascular) system |
| مصطلحات موضوعية: |
Acute aortic dissection, Coronary malperfusion, Left main trunk obstruction, Impella, Diseases of the circulatory (Cardiovascular) system, RC666-701 |
| الوصف: |
Abstract Background Acute aortic dissection (AAD) with impaired perfusion of the left coronary artery has a poor prognosis, even after urgent radical aortic surgery, due to extensive myocardial damage. Although Impella, a microaxial-flow catheter pump, is useful in managing acute myocardial infarction, it is generally contraindicated in patients with AAD because it is an intra-aortic device and the aortic structure is compromised in these cases. Here, we introduce a novel intervention that allowed a planned aortic repair after managing circulation using Impella and venoarterial extracorporeal membrane oxygenation in a case of AAD with left main trunk malperfusion. Case presentation A 40-year-old man presented with cardiogenic shock. Percutaneous coronary intervention was performed to address left main trunk obstruction using an intra-aortic balloon pump; however, circulatory instability persisted. The patient was transferred to our hospital after venoarterial extracorporeal membrane oxygenation. Impella CP™ was used to improve his circulatory status. However, a subsequent CT scan confirmed an AAD diagnosis. After 5 days of stable circulatory support, the patient underwent aortic root replacement and coronary artery bypass grafting. Conclusions In patients with AAD and coronary malperfusion, adjunctive circulatory management with Impella may be a valuable therapeutic option. |
| نوع الوثيقة: |
article |
| وصف الملف: |
electronic resource |
| اللغة: |
English |
| تدمد: |
2090-911X |
| Relation: |
https://doaj.org/toc/2090-911X |
| DOI: |
10.1186/s43044-024-00439-9 |
| URL الوصول: |
https://doaj.org/article/603eb95806ca4f159b8a40776d361e79 |
| رقم الانضمام: |
edsdoj.603eb95806ca4f159b8a40776d361e79 |
| قاعدة البيانات: |
Directory of Open Access Journals |
Full Text Finder