CASE REPORT article
Front. Cardiovasc. Med.
Sec. Coronary Artery Disease
Volume 12 - 2025 | doi: 10.3389/fcvm.2025.1611019
This article is part of the Research TopicCase Reports in Coronary Artery Disease: 2025View all 5 articles
Diagnostic and therapeutic challenges in acute myocardial infarction years after aortic replacement surgery: a case of severe vascular tortuosity
Provisionally accepted
- Zibo Central Hospital, Shandong, China
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This study delineates the diagnostic and therapeutic strategies for acute myocardial infarction occurring years after stent implantation for Stanford type A aortic dissection. Emergency coronary angiography presented substantial technical challenges attributable to the lack of recent aortic imaging data and marked tortuosity of the brachiocephalic trunk resulting from postoperative anatomical changes. Consequently, while selective left coronary angiography was successfully completed, visualization of the right coronary artery necessitated non-selective contrast administration via a pigtail catheter. This case underscores the pivotal role of preoperative aortic computed tomography angiography (CTA) in hemodynamically stable patients, as it provides essential vascular anatomical information that may circumvent procedural complexities during coronary angiography. Building upon these observations, we advocate an "aorto-coronary combined assessment" Perioperative 删除[翟改霞]:
Keywords: Management Following Aortic Replacement Surgery Stanford type A aortic dissection, Aortic computed tomography angiography, Coronary Artery Disease, acute myocardial infarction, Coronary Angiography
Received: 13 Apr 2025; Accepted: 22 May 2025.
Copyright: © 2025 Su, Zhai, Zhang and Tian. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Hongliang Tian, Zibo Central Hospital, Shandong, China
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