Coronary malperfusion due to type A aortic dissection: mechanism and surgical management.

@article{Kawahito2003CoronaryMD,
  title={Coronary malperfusion due to type A aortic dissection: mechanism and surgical management.},
  author={Koji Kawahito and Hideo Adachi and Sei-ichiro Murata and Atsushi D Yamaguchi and Takashi Ino},
  journal={The Annals of thoracic surgery},
  year={2003},
  volume={76 5},
  pages={1471-6; discussion 1476}
}
BACKGROUND Coronary malperfusion associated with aortic dissection is relatively rare, but when it occurs, it is fatal to the patient. To salvage such moribund patients, aggressive coronary revascularization concomitant with aortic repair is essential. We review the surgical results and mechanism of malperfusion in a group of 12 patients with coronary malperfusion caused by type A aortic dissection, and we discuss our surgical approach. METHODS Between March 1990 and March 2003, 12 patients… CONTINUE READING
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