Rare Intraoperative Left Coronary Artery Dissection in Acute Type A Aortic Dissection: <scp>VA</scp> ‐ <scp>ECMO</scp> ‐Assisted Coronary Artery Bypass Grafting

Intraoperative coronary artery dissection may become apparent during periods of increased myocardial oxygen demand rather than at onset. In the case of cardiogenic shock undergoing venoarterial extracorporeal membrane oxygenation, the patient's preserved right heart function and slight improvement in left heart contraction due to circulatory support may have collectively prevented excessive cardiac load.

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Publication Details

Journal
Clinical Case Reports
Published
2025-12-01
DOI
https://doi.org/10.1002/ccr3.71692
Primary Topic
Aortic Disease and Treatment Approaches
Type
article
Field-Weighted Citation Impact
0.00
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article

Rare Intraoperative Left Coronary Artery Dissection in Acute Type A Aortic Dissection: VA ‐ ECMO ‐Assisted Coronary Artery Bypass Grafting

Yuta Nakamura, Takashi Ota, Keita Saku, Noriaki Moriyama et al.
Clinical Case Reports
Aortic Disease and Treatment Approaches
article

Rare Intraoperative Left Coronary Artery Dissection in Acute Type A Aortic Dissection: VA ‐ ECMO ‐Assisted Coronary Artery Bypass Grafting

Yuta Nakamura, Takashi Ota, Keita Saku, Noriaki Moriyama, S Homma
article en

Abstract

Intraoperative coronary artery dissection may become apparent during periods of increased myocardial oxygen demand rather than at onset. In the case of cardiogenic shock undergoing venoarterial extracorporeal membrane oxygenation, the patient's preserved right heart function and slight improvement in left heart contraction due to circulatory support may have collectively prevented excessive cardiac load.

Clinical Case ReportsVol. 13(12)
National Cerebral and Cardiovascular Center (JP), Shonan Kamakura General Hospital (JP)
Openalex Percentile: Top 40%
Aortic Disease and Treatment Approaches
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