INVASIVE AND SURGICAL  COMBINED TREATMENT OF ACUTE INFERIOR

INVASIVE AND SURGICAL COMBINED TREATMENT OF ACUTE INFERIOR

İlhan GÖLBAŞI, Cengiz TÜRKAY, Ercan AKBULUT, Ömer BAYEZİD, *Mehmet KABUKCU,*Oktay SANCAKTAR

Akdeniz Üniversitesi Tıp Fakültesi Kalp Damar Cerrahisi Anabilim Dalı, ANTALYA
^*Kardiyoloji Anabilim Dalı, ANTALYA

Acute myocardial infarction secondary to aortic dissection may occur due to compression of the coronary arteries by hemotoma or extension of the dissection into the coronary arterial wall and present high mortality. The patient 44 year old- man was admitted to the hospital because of suddenly manifested severe chest pain. ECG demonstrated acute inferior myocardial infarction, and angiography revealed the right coronary artery occlusion due to ascending aortic dissection. Reperfusion was performed by three stents had been implanted to the right coronary. After that, Dacron graft was replaced to the ascending aorta. The postoperative course was uneventful and the patient was discharged from hospital on the 9th postoperative day. Acute myocardial infarction secondary to aortic dissection before irreversible complications can be succesfully managed by intracoronary stenting until the surgical treatment.

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