Emergency angioplasty and stenting successfully salvaged a rare case of acute occlusion of the left anterior descending artery by thrombus 4 days after surgical repair of type A aortic dissection.
Case Report (n=1)
Demonstrates that acute coronary syndrome can rarely occur days after routine recovery from type A aortic dissection repair, potentially due to glue embolisation, and can be managed with emergency PCI.
Cardiac complications associated with type A aortic dissections are relatively common before and during the surgical repair. A cardiac event occurring a few days after routine recovery is rare though. We describe a case of acute occlusion of the left anterior descending artery by thrombus, 4 days after surgical repair, salvaged by emergency angioplasty and stenting. A possible explanation for the thrombus includes embolisation of a fragment of glue.
Hoschtitzky et al. (Tue,) conducted a case report in Acute coronary syndrome following repair of type A aortic dissection (n=1). Emergency angioplasty and stenting was evaluated. Emergency angioplasty and stenting successfully salvaged a rare case of acute occlusion of the left anterior descending artery by thrombus 4 days after surgical repair of type A aortic dissection.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: