BACKGROUND: A 50-year-old male with diagnosis of acute type A aortic dissection underwent surgical repair. Immediately after surgery the patient had transient ECG changes, a raise in serum cardiac markers and physical signs of heart failure. INVESTIGATION: Physical examination, electrocardiography, echocardiography (transthoracic and transoesophageal), coronary angiography, intravascular ultrasound. DIAGNOSIS: Type A aortic dissection. MANAGEMENT: Surgical repair, coronary angiography, percutaneous coronary intervention.

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doi.org/10.4244/EIJV7I5A102, hdl.handle.net/1765/74962
EuroIntervention
Department of Cardio-Thoracic Surgery

Gutiérrez-Chico, J. L., Garcia-Garcia, H., Ligthart, J., Bol-Raap, G., Garg, S., Bekkers, J., & Serruys, P. (2011). How should I treat impaired systolic function and clinical deterioration after surgery of type A aortic dissection?. EuroIntervention, 7(5). doi:10.4244/EIJV7I5A102