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CASE REPORT article

Front. Cardiovasc. Med.
Sec. Cardiovascular Surgery
Volume 12 - 2025 | doi: 10.3389/fcvm.2025.1516152
This article is part of the Research Topic Case Reports in Heart Surgery: 2024 View all 7 articles

Case Report: PCI of the left coronary artery after salvage operation in a comatose patient with an acute type A aortic dissection

Provisionally accepted
Jan Bidovec Jan Bidovec *Petar Risteski Petar Risteski Barbara E Stähli Barbara E Stähli Omer Dzemali Omer Dzemali Michael Hofmann Michael Hofmann Julia Stehli Julia Stehli
  • University Hospital Zürich, Zurich, Switzerland

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

    PCI of the Left Coronary Artery After Salvage Operation in a Comatose Patient with Acute Type A Aortic Dissection (ATAAD), is well suited for publication in Frontiers in Cardiovascular Medicine. This case report details a highly complex intervention involving PCI following salvage surgery for ATAAD, with a focus on the management of severe neurological and cardiac complications. The successful use of intravascular ultrasound-guided stenting and full recovery of the patient emphasizes the crucial role of a multidisciplinary approach in treating life-threatening cardiovascular emergencies. This case directly addresses the journal's focus on innovative treatments in cardiovascular surgery and interventional cardiology, providing insights into the management of residual coronary dissections after major cardiovascular surgery. This work also underscores the importance of early intervention in comatose patients, contributing to the ongoing conversation about optimizing care for high-risk patients. Given the journal's emphasis on advancing clinical practice, this case offers valuable lessons for both the surgical and cardiology specialties.

    Keywords: Barbara E Stähli: Supervision, Writing -review & editing. Jan Bidovec: Conceptualization, methodology, project administration, Writing -original draft, Writing -review & editing. Julia Stehli: Supervision, Validation, Writing -review & editing. Michael Hofmann: Writing -review & editing. Omer Dzemali: Supervision

    Received: 23 Oct 2024; Accepted: 15 Jan 2025.

    Copyright: © 2025 Bidovec, Risteski, Stähli, Dzemali, Hofmann and Stehli. 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: Jan Bidovec, University Hospital Zürich, Zurich, Switzerland

    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.