PAY HEED AND PROCEED - ACUTE ASCENDING AORTIC DISSECTION PRESENTING AS ACUTE LEFT MAIN CORONARY ARTERY OCCLUSION
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Abstract
Acute aortic dissection (AAD) is characterized by the rapid development of an intimal flap causing luminal compromise, and mal-perfusion. They can occur anywhere from coronary to iliac arteries. The combination of left main occlusion and extensive aortic dissection from the ascending aorta to the iliac artery is lethal, with a very high mortality rate. A high index of suspicion is the first key step in the management of aortic dissection in ACS.
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2. Aortic dissection. Prêtre R, Von Segesser LK. Lancet. 1997;17:1461–1464
3. Clinical prediction of acute aortic dissection. von Kodolitsch Y, Schwartz AG, Nienaber CA. Arch Intern Med. 2000;160:2977–2982
4. Frequency of and inappropriate treatment of misdiagnosis of acute aortic dissection. Hansen MS, Nogareda GJ, Hutchison SJ. Am J Cardiol. 2007;99:852–856.
5. Acute aortic syndromes. Tsai TT, Nienaber CA, Eagle KA. Circulation. 2005;13:3802–3813.
6. Choice of computed tomography, transesophageal echocardiography, magnetic resonance imaging, and aortography in acute aortic dissection: International Registry of Acute Aortic Dissection (IRAD) Moore AG, Eagle KA, Bruckman D, et al. Am J Cardiol. 2002;15:1235–1238.
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| Keywords | ||
| AORTIC DISSECTION CORONARY COMPROMISE LEFT MAIN CORONARY ARTERY CT AORTOGRAM DISSECTION FLAP | ||
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How to Cite
1.
Veeraraghavan S, Kidambi BR, PONNAGANTI V. PAY HEED AND PROCEED - ACUTE ASCENDING AORTIC DISSECTION PRESENTING AS ACUTE LEFT MAIN CORONARY ARTERY OCCLUSION. J Tehran Heart Cent. 2024;.
