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

Postoperative Myocardial Infarction

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.

References

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Khoyneahad A, Dieusanio M, Ehrlich M. 2014. Postoperative Myocardial Infarction in Acute Aortic Dissection Patients: A Report from the International Registry of Acute Aortic Dissection[J]. Journal of the American College of Cardiology. 63(12).

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Waterford SD, Di Eusanio M, Ehrlich MP. 2017. Postoperative myocardial infarction in acute type A aortic dissection: A report from the International Registry of Acute Aortic Dissection. J Thorac Cardiovasc Surg. 153(3):521-527.

Published

2023-01-09

How to Cite

Song, S., Lu, L., Qiang, H., & Wu, X. (2023). Postoperative Myocardial Infarction in Acute Type A Aortic Dissection: A Case Report: Postoperative Myocardial Infarction. The Heart Surgery Forum, 26(1), E009-E012. https://doi.org/10.1532/hsf.5121

Issue

Section

Articles