Type A acute aortic dissection with left coronary malperfusion : a case report

Abstract

Patients with type A acute aortic dissection with left coronary malperfusion have extremely poor prognosis because of hemodynamics instability. A 75-year-old man was transported to our emergency room with chest and back pain. He was in shock and developed cardiac arrest. Aortic dissection was diagnosed on computed tomography findings. Percutaneous cardiopulmonary support was initiated and left main trunk stenting was performed. The bleeding could not be controlled even after surgery. Preoperative percutaneous coronary intervention should be considered for treating type A acute aortic dissection because it could improve hemodynamics and minimize myocardial injury.