PMID- 34255294
OWN - NLM
STAT- MEDLINE
DCOM- 20220318
LR  - 20221207
IS  - 1868-4297 (Electronic)
IS  - 1868-4300 (Print)
IS  - 1868-4297 (Linking)
VI  - 37
IP  - 2
DP  - 2022 Apr
TI  - Percutaneous coronary intervention for left main coronary artery malperfusion in 
      acute type A aortic dissection.
PG  - 333-342
LID - 10.1007/s12928-021-00793-4 [doi]
AB  - The clinical outcomes of patients undergoing percutaneous coronary intervention 
      (PCI) for left main coronary artery (LMCA) malperfusion caused by acute type A 
      aortic dissection (AAAD) remains largely unexplored. The aim of this study was to 
      determine the clinical outcomes of patients undergoing PCI for LMCA malperfusion 
      caused by AAAD. We examined nine consecutive patients undergoing PCI for LMCA 
      malperfusion caused by AAAD between 1995 and 2020. The mean age was 
      55.4 +/- 7.7 years. Eight patients presented cardiogenic shock, and five patients 
      cardiopulmonary arrest. Two patients were diagnosed with AAAD before coronary 
      angiography using computed tomography and transthoracic echocardiography, 
      respectively, and in the other seven patients after coronary angiography using 
      other modalities. Four patients underwent PCI on intra-aortic balloon pumping 
      support, and four patients on venoarterial extracorporeal membrane oxygenation 
      (VA-ECMO) support, including one patient on both. PCI was successful in eight 
      patients, with final thrombolysis in myocardial infarction grade 2 or 3. The four 
      patients on VA-ECMO did not undergo aortic dissection repair due to poor recovery 
      of cardiac function and died during the hospital stay, and the other five 
      patients had successful PCI, underwent aortic dissection repair, and remained 
      alive at 5 year follow-up. In conclusion, LMCA malperfusion caused by AAAD seemed 
      to have clinical presentations and electrocardiogram changes similar to acute 
      coronary syndrome. PCI and subsequent surgical aortic repair saved the lives of 
      all AAAD patients with LMCA malperfusion who had not required VA-ECMO.
CI  - (c) 2021. The Author(s).
FAU - Taguchi, Yuya
AU  - Taguchi Y
AD  - Department of Cardiovascular Medicine, Kurashiki Central Hospital, 1-1-1, Miwa, 
      Kurashiki, 710-8602, Japan. yuya_handball_13@yahoo.co.jp.
FAU - Kubo, Shunsuke
AU  - Kubo S
AD  - Department of Cardiovascular Medicine, Kurashiki Central Hospital, 1-1-1, Miwa, 
      Kurashiki, 710-8602, Japan.
FAU - Ikuta, Akihiro
AU  - Ikuta A
AD  - Department of Cardiovascular Medicine, Kurashiki Central Hospital, 1-1-1, Miwa, 
      Kurashiki, 710-8602, Japan.
FAU - Osakada, Kohei
AU  - Osakada K
AD  - Department of Cardiovascular Medicine, Kurashiki Central Hospital, 1-1-1, Miwa, 
      Kurashiki, 710-8602, Japan.
FAU - Takamatsu, Makoto
AU  - Takamatsu M
AD  - Department of Cardiovascular Medicine, Kurashiki Central Hospital, 1-1-1, Miwa, 
      Kurashiki, 710-8602, Japan.
FAU - Takahashi, Kotaro
AU  - Takahashi K
AD  - Department of Cardiovascular Medicine, Kurashiki Central Hospital, 1-1-1, Miwa, 
      Kurashiki, 710-8602, Japan.
FAU - Ohya, Masanobu
AU  - Ohya M
AD  - Department of Cardiovascular Medicine, Kurashiki Central Hospital, 1-1-1, Miwa, 
      Kurashiki, 710-8602, Japan.
FAU - Shimada, Takenobu
AU  - Shimada T
AD  - Department of Cardiovascular Medicine, Kurashiki Central Hospital, 1-1-1, Miwa, 
      Kurashiki, 710-8602, Japan.
FAU - Miura, Katsuya
AU  - Miura K
AD  - Department of Cardiovascular Medicine, Kurashiki Central Hospital, 1-1-1, Miwa, 
      Kurashiki, 710-8602, Japan.
FAU - Murai, Ryosuke
AU  - Murai R
AD  - Department of Cardiovascular Medicine, Kurashiki Central Hospital, 1-1-1, Miwa, 
      Kurashiki, 710-8602, Japan.
FAU - Tada, Takeshi
AU  - Tada T
AD  - Department of Cardiovascular Medicine, Kurashiki Central Hospital, 1-1-1, Miwa, 
      Kurashiki, 710-8602, Japan.
FAU - Tanaka, Hiroyuki
AU  - Tanaka H
AD  - Department of Cardiovascular Medicine, Kurashiki Central Hospital, 1-1-1, Miwa, 
      Kurashiki, 710-8602, Japan.
FAU - Fuku, Yasushi
AU  - Fuku Y
AD  - Department of Cardiovascular Medicine, Kurashiki Central Hospital, 1-1-1, Miwa, 
      Kurashiki, 710-8602, Japan.
FAU - Goto, Tsuyoshi
AU  - Goto T
AD  - Department of Cardiovascular Medicine, Kurashiki Central Hospital, 1-1-1, Miwa, 
      Kurashiki, 710-8602, Japan.
FAU - Komiya, Tatsuhiko
AU  - Komiya T
AD  - Department of Cardiovascular Surgery, Kurashiki Central Hospital, 1-1-1, Miwa, 
      Kurashiki, Japan.
FAU - Kadota, Kazushige
AU  - Kadota K
AD  - Department of Cardiovascular Medicine, Kurashiki Central Hospital, 1-1-1, Miwa, 
      Kurashiki, 710-8602, Japan.
LA  - eng
PT  - Journal Article
DEP - 20210713
PL  - Japan
TA  - Cardiovasc Interv Ther
JT  - Cardiovascular intervention and therapeutics
JID - 101522043
SB  - IM
MH  - *Aortic Dissection/complications/diagnosis/surgery
MH  - Coronary Vessels/diagnostic imaging/surgery
MH  - Humans
MH  - Middle Aged
MH  - *Percutaneous Coronary Intervention/methods
MH  - Shock, Cardiogenic/etiology
MH  - Treatment Outcome
PMC - PMC8926951
OTO - NOTNLM
OT  - Acute type A aortic dissection
OT  - Left main coronary artery malperfusion
OT  - Percutaneous coronary intervention
COIS- The authors have no conflicts of interest to disclose.
EDAT- 2021/07/14 06:00
MHDA- 2022/03/19 06:00
PMCR- 2021/07/13
CRDT- 2021/07/13 12:29
PHST- 2021/02/15 00:00 [received]
PHST- 2021/07/02 00:00 [accepted]
PHST- 2021/07/14 06:00 [pubmed]
PHST- 2022/03/19 06:00 [medline]
PHST- 2021/07/13 12:29 [entrez]
PHST- 2021/07/13 00:00 [pmc-release]
AID - 10.1007/s12928-021-00793-4 [pii]
AID - 793 [pii]
AID - 10.1007/s12928-021-00793-4 [doi]
PST - ppublish
SO  - Cardiovasc Interv Ther. 2022 Apr;37(2):333-342. doi: 10.1007/s12928-021-00793-4. 
      Epub 2021 Jul 13.