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Journals / Türk Göğüs Kalp Damar Cerrahisi Dergisi / 2000 / Cilt: 8 - Sayı: 1

Invasive and surgical combined treatment of acute inferior myocardial infarction complicated ascendan aortic dissection

Akut inferior miyokard infarktüsü ile komplike aorta diseksiyonunda girişimsel ve cerrahi kombine tedavi

İlhan GÖLBAŞI
Ömer BAYEZİD
Ercan AKBULUT
Mehmet KABUKÇU
Oktay SANCAKTAR
Cengiz TÜRKAY
Pages
559–562
Publication Date
2022-09-02
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Acute myocardial infarction secondary to aortic dissection before irreversible complications can be succesfully managed by intracoronary stenting until the surgical treatment.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Acute myocardial infarction secondary to aortic dissection may occur due to compression of the coronary arteries by hemotoma or extension of the dissection into the coronary arterial wall and present high mortality.
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Key Findings & Data:The patient 44 year old- man was admitted to the hospital because of suddenly manifested severe chest pain.
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Conclusion & Impact:Acute myocardial infarction secondary to aortic dissection before irreversible complications can be succesfully managed by intracoronary stenting until the surgical treatment.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Acute myocardial infarction secondary to aortic dissection may occur due to compression of the coronary arteries by hemotoma or extension of the dissection into the coronary arterial wall and present high mortality. The patient 44 year old- man was admitted to the hospital because of suddenly manifested severe chest pain. ECG demonstrated acute inferior myocardial infarction, and angiography revealed the right coronary artery occlusion due to ascending aortic dissection. Reperfusion was performed by three stents had been implanted to the right coronary. After that, Dacron graft was replaced to the ascending aorta. The postoperative course was uneventful and the patient was discharged from hospital on the 9th postoperative day. Acute myocardial infarction secondary to aortic dissection before irreversible complications can be succesfully managed by intracoronary stenting until the surgical treatment.

Özet

Akut aort diseksiyonuna sekonder akut miyokard infarktüsü diseksiyonun koroner arterlere yayılmasına veya hematomun koroner arterleri kompresyona uğratmasına bağlı olarak gelişebilmektedir ve mortalitesi yüksektir. 44 yaşındaki erkek hasta, ani başlayan şiddetli göğüs ağrısı nedeniyle hospitalize edildi. Elektrokardiyografide, akut inferior miyokard infarktüsü ve anjiografide ise assendan aorta diseksiyonuna bağlı sağ koroner arterde oklüzyon saptandı. Sağ koroner artere üç adet stent implantasyonu ile reperfüzyon sağlandı. Assendan aortaya, Dakron greft replase edildi. Postoperatif sorunsuz seyreden olgumuz postoperatif dokuzuncu günde taburcu edildi. Aort diseksiyonuna bağlı akut miyokard infarktüsü cerrahi tedavi uygulanıncaya kadar irreversibl komplikasyonlar gelişmeden önce intrakoroner stent ile başarılı şekilde tedavi edilmektedir.

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Cite This Article

GÖLBAŞI, İ., BAYEZİD, Ö., AKBULUT, E., KABUKÇU, M., SANCAKTAR, O., TÜRKAY, C. (2022). Invasive and surgical combined treatment of acute inferior myocardial infarction complicated ascendan aortic dissection. Türk Göğüs Kalp Damar Cerrahisi Dergisi, Cilt: 8 - Sayı: 1, 559–562. https://ajindex.com/articles/425556

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