Postoperative Myocardial Infarction in Acute Type A Aortic  Dissection: A Case Report: Postoperative Myocardial Infarction

Shibo Song; Lin Lu; Haifeng Qiang; Xijie Wu

doi:10.1532/hsf.5121

Authors

Shibo Song, MD Department of Cardiac Surgery, Xiamen Cardiovascular Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, China
Lin Lu, PhD Department of Cardiac Surgery, Xiamen Cardiovascular Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, China
Haifeng Qiang, PhD Department of Cardiac Surgery, Xiamen Cardiovascular Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, China
Xijie Wu, PhD Department of Cardiac Surgery, Xiamen Cardiovascular Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, China

DOI:

https://doi.org/10.1532/hsf.5121

Keywords:

Postoperative myocardial infarction, type A aortic dissection

Abstract

Postoperative myocardial infarction (POMI) in acute type A aortic dissection rarely has been reported, we report a case of postoperative myocardial infarction in acute type A aortic dissection, and the clinical presentation and possible mechanisms are described. This case illustrates that postoperative myocardial infarction in acute type A aortic dissection is a rare fatal complication in patients without coronary lesions or coronary malperfusion before aortic repair. Type 2 myocardial infarction may account for POMI. Effective treatment may include anticoagulation therapy, volume adjustment, blood pressure support, administration of blood products, heart rate control, and individualized respiratory support.

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Postoperative Myocardial Infarction in Acute Type A Aortic Dissection: A Case Report