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| Format: | Artículo científico |
| Language: | en |
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Sociedade Brasileira de Cirurgia Cardiovascular
2019
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| Online Access: | https://www.redalyc.org/articulo.oa?id=398966769020 https://www.redalyc.org/journal/3989/398966769020/ https://www.redalyc.org/journal/3989/398966769020/html/ https://www.redalyc.org/journal/3989/398966769020/398966769020.epub https://www.redalyc.org/journal/3989/398966769020/movil |
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Table of Contents:
- A Complete Occlusion of Right Coronary Artery Due to Stanford Type A Aortic Dissection - Successful Treatment with Extracorporeal Membrane Oxygenation (ECMO) Yong Wang Zhicheng Zhu Rihao Xu Dan Li Tiance Wang Kexiang Liu Medicina Coronary Involvement Stanford Type A Aortic Dissection Extracorporeal Membrane Oxygenation (ECMO) We present a patient diagnosed Stanford Type A aortic dissection, who was misdiagnosed as acute myocardial infarction for 5 days. In the surgery, the right coronary ostium was totally occluded, and the right coronary artery (RCA) was bluish from the trunk to branches. The true lumen couldn’t be found when we opened the RCA. We had to give up coronary artery bypass grafting (CABG). After a regular surgery of type A aortic dissection, the patient was failed to wean from cardiopulmonary bypass due to the right heart dysfunction. The Extracorporeal membrane oxygenation (ECMO) was instituted. The right ventricular wall motion was gradually improved during the post-operation period. This is the first report of using ECMO to successfully treat a complete occlusion of the right coronary artery due to a Type A aortic dissection. This case demonstrates the value of ECMO in assisting right heart function to ensure stable hemodynamics and myocardial recovery in the type A aortic dissection with coronary involvement. 2019 otro 0102-7638 https://www.redalyc.org/articulo.oa?id=398966769020 https://www.redalyc.org/journal/3989/398966769020/ https://www.redalyc.org/journal/3989/398966769020/html/ https://www.redalyc.org/journal/3989/398966769020/398966769020.epub https://www.redalyc.org/journal/3989/398966769020/movil 10.21470/1678-9741-2018-0060 en http://www.redalyc.org/revista.oa?id=3989 Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery application/pdf Sociedade Brasileira de Cirurgia Cardiovascular Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery (Brasil) Num.4 Vol.34