Key result
Extracorporeal membrane oxygenation following cardiotomy was successfully implemented with a favorable outcome in a patient with type A aortic dissection complicated by coronary artery dissection.
Case Report (n=1)
This case report suggests that ECMO can be successfully used in patients with acute aortic dissection complicated by coronary artery dissection and major arrhythmias.
Hypothesis-generating for ECMO rescue in type A dissection with coronary complications; prospective data needed before clinical adoption.
Coronary artery dissection (CAD) is a rare but serious complication of type A aortic dissection (AD) which may be discovered preoperatively in the presence of clinical or ECG signs of ischemia, or intraoperatively after dissection of the coronary ostium. Treatment of CAD consists of surgical repair with glue and, if necessary, coronary artery bypass graft. No case of AD with CAD complicated by major arrhythmias treated by assisted circulation has been reported in the literature. We report the first case of AD with implementation of extracorporeal membranous oxygenation following cardiotomy with a favorable outcome.
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Doguet et al. (2010) conducted a case report in Type A aortic dissection complicated by coronary artery dissection and major arrhythmias (n=1). Extracorporeal membrane oxygenation (ECMO) was evaluated on Clinical outcome. Extracorporeal membrane oxygenation following cardiotomy was successfully implemented with a favorable outcome in a patient with type A aortic dissection complicated by coronary artery dissection.
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