Key result
PCI and MCS resolve left main occlusion and cardiogenic shock in focal Type A dissection.
Why the study?
Type A aortic dissection is a rapidly progressive disease process with often fatal complications.
Percutaneous coronary intervention and mechanical circulatory support can be successfully used to treat left main occlusion and cardiogenic shock complicating focal Type A aortic dissection.
PCI with MCS may be feasible in select focal Type A dissections with left main occlusion and shock; leaves open role versus surgery.
Type A aortic dissection is a rapidly progressive disease process with often fatal complications. We present a case of focal Type A aortic dissection complicated by left main occlusion and cardiogenic shock, treated with percutaneous coronary intervention and mechanical circulatory support.
No takes yet. Share an insight, caveat, or question.
Samhan et al. (2024) studied this question. Percutaneous coronary intervention and mechanical circulatory support successfully treated left main occlusion and cardiogenic shock associated with focal Type A aortic dissection.
Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context: