Title |
Cardiogenic shock due to coronary artery disease associated with interrupted aortic arch
|
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Published in |
Revista Brasileira de Cirurgia Cardiovascular, August 2013
|
DOI | 10.5935/1678-9741.20130040 |
Pubmed ID | |
Authors |
Luís Alberto Oliveira Dallan, Adriano Milanez, Luiz Augusto F. Lisboa, Fabio B. Jatene |
Abstract |
Acute pulmonary edema is a serious event. Its occurrence in association with interrupted aortic arch and coronary heart disease is rare. Recently, an old patient developed cardiogenic shock and acute pulmonary edema due to acute coronary insufficiency, associated with interrupted aortic arch. The coronary angiography revealed occlusion of the right coronary artery and 95% obstruction in the left main coronary artery, associated with interruption of the descending aorta. Coronary artery bypass graft was performed, without extracorporeal circulation, to the anterior descending coronary artery. We discuss the initial management, given the seriousness of the case. |
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