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CASE REPORT article

Front. Cardiovasc. Med.
Sec. Cardiovascular Surgery
Volume 12 - 2025 | doi: 10.3389/fcvm.2025.1463764
This article is part of the Research Topic Case Reports in Heart Surgery: 2024 View all 6 articles

Surgery combined with extracorporeal membraneoxygenation for acute type A aortic dissection complicated with acute myocardial infarction

Provisionally accepted
Jianming Xia Jianming Xia 1Yan Qiu Yan Qiu 1Shuo Chang Shuo Chang 2*Ying Feng Ying Feng 1*Heng Zhang Heng Zhang 1*Xiaoqi Wang Xiaoqi Wang 1*
  • 1 Yunnan Fuwai Cardiovascular Hospital, Kunming, China
  • 2 Chinese Academy of Medical Sciences and Peking Union Medical College, Dongcheng, Beijing Municipality, China

The final, formatted version of the article will be published soon.

    Background: Myocardial infarction (AMI) is one of the most serious complications of acute type A aortic dissection (ATAAD) and markedly increases patient mortality. Simultaneous treatment strategies remain controversial. How to improve the treatment of these patients remains a critical challenge for cardiovascular surgeons.Case presentation: All three patients who experienced chest pain were admitted to emergency department of our hospital. The 12-lead electrocardiogram revealed ST-segment depression, myocardial enzyme levels were significantly elevated. Emergency physicians diagnosed ATAAD with AMI, and emergency surgery was planned in collaboration with the cardiovascular surgery team. One-stage surgery for coronary revascularization and central aortic repair were performed, extracorporeal membrane oxygenation (ECMO) was implanted, ECMO was discontinued when hemodynamics stabilized. The patient ultimately recovered well and was discharged.For ATAAD combined with right ventricular AMI, one-stage surgery for coronary revascularization and central aortic repair, supported by ECMO as bridge, can be life-saving treatment strategy, the prognosis for all three patients was excellent.

    Keywords: myocardial infarction (AMI), Acute type A aortic dissection (ATAAD), Extracorporeal membrane oxygenation (ECMO), One-Stage surgery, malperfusion syndrome

    Received: 12 Jul 2024; Accepted: 09 Jan 2025.

    Copyright: © 2025 Xia, Qiu, Chang, Feng, Zhang and Wang. 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:
    Shuo Chang, Chinese Academy of Medical Sciences and Peking Union Medical College, Dongcheng, 100006, Beijing Municipality, China
    Ying Feng, Yunnan Fuwai Cardiovascular Hospital, Kunming, China
    Heng Zhang, Yunnan Fuwai Cardiovascular Hospital, Kunming, China
    Xiaoqi Wang, Yunnan Fuwai Cardiovascular Hospital, Kunming, China

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.