Key result
Emergency ascending and aortic arch replacement with CABG using an external coronary shunt tube successfully treated a patient with acute type A aortic dissection and acute myocardial infarction.
Case Report (n=1)
No
Antegrade coronary perfusion using an external shunt catheter during systemic cooling is a useful surgical strategy to minimize myocardial damage in acute type A aortic dissection complicated by right ventricular infarction and an aberrant right coronary artery.
External shunt perfusion may aid myocardial protection in select acute type A dissections; hypothesis-generating case report requiring validation.
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Yamana et al. (2008) conducted a case report in Acute type A aortic dissection complicated with acute myocardial infarction and an aberrant right coronary artery (n=1). Emergency ascending and aortic arch replacement and CABG using an external coronary shunt tube was evaluated on Patient survival and clinical recovery. Emergency ascending and aortic arch replacement with CABG using an external coronary shunt tube successfully treated a patient with acute type A aortic dissection and acute myocardial infarction.
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