An Acute Type A Aortic Dissection Complicated with Malperfusion of the Left Main Coronary Artery

Abstract

A 65-year-old woman was referred to our hospital because of sudden chest pain. Electrocardiogram (ECG) showed ST segment elevation in leads aV_R, V₂–V₆, and emergency coronary angiography (CAG) was performed. CAG revealed malperfusion of the left main coronary artery (LMT) due to type A aortic dissection. Percutaneous transluminal coronary angioplasty (PTCA) of the LMT was performed preceding the aortic repair surgery, because the patient was already in state of shock. After PTCA, ascending aorta replacement with coronary artery bypass grafting (CABG) was performed. The patient was discharged from our hospital without any major complication.