A clinical case of a successful step-by-step treatment of a patient with a dissecting aneurysm of the ascending aorta involving the trunk of the left coronary artery

Background: The presented clinical case shows a version of successful step-by-step medical care for a patient with a dissecting aneurysm of the ascending aorta involving the trunk of the left coronary artery in a vascular center without a cardiac surgical support. Clinical case description: The pati...

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Autores principales:	Aleksandr V. Bocharov, Leonid V. Popov
Formato:	article
Lenguaje:	RU
Publicado:	Eco-vector 2021
Materias:	aortic aneurysm acute coronary syndrome step-by-step treatment bare metall stent clinical case Medicine R
Acceso en línea:	https://doaj.org/article/25ec83af2c254c8db5af81b20c864bf5
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spelling	oai:doaj.org-article:25ec83af2c254c8db5af81b20c864bf52021-11-30T18:15:21ZA clinical case of a successful step-by-step treatment of a patient with a dissecting aneurysm of the ascending aorta involving the trunk of the left coronary artery2220-30952618-862710.17816/clinpract62873https://doaj.org/article/25ec83af2c254c8db5af81b20c864bf52021-03-01T00:00:00Zhttps://journals.eco-vector.com/clinpractice/article/viewFile/62873/pdfhttps://doaj.org/toc/2220-3095https://doaj.org/toc/2618-8627Background: The presented clinical case shows a version of successful step-by-step medical care for a patient with a dissecting aneurysm of the ascending aorta involving the trunk of the left coronary artery in a vascular center without a cardiac surgical support. Clinical case description: The patient was admitted to the Kostroma Regional Vascular Center with the symptoms of Acute Coronary Syndrome. During the examination in the clinic, the diagnosis of acute coronary syndrome with ST segment elevation was confirmed, and a dissecting aneurysm of the ascending aorta was also revealed. According to emergency coronary angiography, the dissection of the left coronary artery trunk was visualized, and the left coronary artery trunk was successfully stented with a bare metal stent. Later, the patient was transferred to a federal center, where aortic prosthetic reconstruction was performed. Conclusion: In patients with a dissecting thoracic aortic aneurysm involving the trunk of the left coronary artery and acute myocardial damage, who are admitted to a vascular center without a cardiac surgery support, the following step-by-step treatment strategy is likely to be effective: stenting the trunk of the left coronary artery with a bare metal stent and a further transfer to a center of cardiac surgery for a surgical treatment.Aleksandr V. BocharovLeonid V. PopovEco-vectorarticleaortic aneurysmacute coronary syndromestep-by-step treatmentbare metall stentclinical caseMedicineRRUКлиническая практика , Vol 12, Iss 1, Pp 113-118 (2021)
institution	DOAJ
collection	DOAJ
language	RU
topic	aortic aneurysm acute coronary syndrome step-by-step treatment bare metall stent clinical case Medicine R
spellingShingle	aortic aneurysm acute coronary syndrome step-by-step treatment bare metall stent clinical case Medicine R Aleksandr V. Bocharov Leonid V. Popov A clinical case of a successful step-by-step treatment of a patient with a dissecting aneurysm of the ascending aorta involving the trunk of the left coronary artery
description	Background: The presented clinical case shows a version of successful step-by-step medical care for a patient with a dissecting aneurysm of the ascending aorta involving the trunk of the left coronary artery in a vascular center without a cardiac surgical support. Clinical case description: The patient was admitted to the Kostroma Regional Vascular Center with the symptoms of Acute Coronary Syndrome. During the examination in the clinic, the diagnosis of acute coronary syndrome with ST segment elevation was confirmed, and a dissecting aneurysm of the ascending aorta was also revealed. According to emergency coronary angiography, the dissection of the left coronary artery trunk was visualized, and the left coronary artery trunk was successfully stented with a bare metal stent. Later, the patient was transferred to a federal center, where aortic prosthetic reconstruction was performed. Conclusion: In patients with a dissecting thoracic aortic aneurysm involving the trunk of the left coronary artery and acute myocardial damage, who are admitted to a vascular center without a cardiac surgery support, the following step-by-step treatment strategy is likely to be effective: stenting the trunk of the left coronary artery with a bare metal stent and a further transfer to a center of cardiac surgery for a surgical treatment.
format	article
author	Aleksandr V. Bocharov Leonid V. Popov
author_facet	Aleksandr V. Bocharov Leonid V. Popov
author_sort	Aleksandr V. Bocharov
title	A clinical case of a successful step-by-step treatment of a patient with a dissecting aneurysm of the ascending aorta involving the trunk of the left coronary artery
title_short	A clinical case of a successful step-by-step treatment of a patient with a dissecting aneurysm of the ascending aorta involving the trunk of the left coronary artery
title_full	A clinical case of a successful step-by-step treatment of a patient with a dissecting aneurysm of the ascending aorta involving the trunk of the left coronary artery
title_fullStr	A clinical case of a successful step-by-step treatment of a patient with a dissecting aneurysm of the ascending aorta involving the trunk of the left coronary artery
title_full_unstemmed	A clinical case of a successful step-by-step treatment of a patient with a dissecting aneurysm of the ascending aorta involving the trunk of the left coronary artery
title_sort	clinical case of a successful step-by-step treatment of a patient with a dissecting aneurysm of the ascending aorta involving the trunk of the left coronary artery
publisher	Eco-vector
publishDate	2021
url	https://doaj.org/article/25ec83af2c254c8db5af81b20c864bf5
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A clinical case of a successful step-by-step treatment of a patient with a dissecting aneurysm of the ascending aorta involving the trunk of the left coronary artery

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