Japanese Journal of Cardiovascular Surgery Vol50,No.4

A Case of Type A Aortic Dissection That Developed Ischemic Cardiomyopathy due to Coronary Malperfusion
Emi Nagata* Takashi Igarashi* Hirono Satokawa*
Tsuyoshi Fujimiya* Hiroharu Shinjo* Keiichi Ishida*
Hitoshi Yokoyama*

(Department of Cardiovascular Surgery, Fukushima Medical University*, Fukushima, Japan)

A 57-year-old man complained of dyspnea, and his echocardiography showed diffuse severe left ventricular dysfunction. Five days after admission and starting the treatment for congestive heart failure, a computed tomography pointed out DeBakey type 1 aortic dissection with a patent false lumen incidentally. The ostium of the left coronary artery was compressed with the false lumen, and this finding was thought to be a cause of development of left ventricular dysfunction. A modified Bentall procedure with bioprosthesis and total arch replacement were performed. The patient was discharged on the 28th postoperative day without any complications.


Jpn. J. Cardiovasc. Surg. 50:279-282(2021)

Keywords:type A aortic dissection;coronary malperfusion;ischemic cardiomyopathy;left ventricular systolic dysfunction

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