Diagnosis and treatment of a case of acute severe Stanford type A aortic dissection

Abstract

Patients with acute myocardial infarction (AMI) complicated with acute Stanford type A aortic dissection after percutaneous coronary intervention (PCI) are critically ill, with a very high fatality rate, and few cases are successfully treated clinically. A case with AMI admitted to the First Affiliated Hospital of Zhengzhou University complicated with acute left cardiac insufficiency after PCI, Stanford type A aortic dissection, pericardial and pleural infection, recurrent AMI was reviewed. In the condition of coexistence of many diseases, through timely adjustment of treatment strategy and exploratory application of drugs to improve cardiac function, the patient successfully received operation and discharged from the hospital. By presenting the successful treatment experience of this case, the author aims to improve the overall treatment of AMI patients with acute Stanford type A aortic dissection after PCI.