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Double Whammy: Concomitant Acute Type B Aortic Dissection and Acute Pulmonary Embolism
Amirkhosro Gouran,Hassan Safdari,Hamidreza Pouraliakbar,Omid Shafe,Jamal Moosavi,Bahram Mohebbi,Parham Sadeghipour 대한혈관외과학회 2020 Vascular Specialist International Vol.36 No.3
The concomitant occurrence of acute type B aortic dissection (TBAD) and acute pulmonary embolism (PE) is a rare but challenging condition. Although anticoagulation therapy is essential in the treatment of PE, it may increase the risk of aortic rupture and bleeding complications. We herein describe a patient with acute TBAD complicated by PE, which was successfully treated with early thoracic endovascular aortic repair (TEVAR) followed by anticoagulation. The present case report demonstrates that early TEVAR not only treats the aortic pathology but also allows the safe initiation of anticoagulation therapy.
Surgical Repair for Anomalous Origin of the Right Coronary Artery from the Pulmonary Artery
Alwaleed Al-Dairy,Yousef Rezaei,Hamidreza Pouraliakbar,Mohammad Mahdavi,Parvin Bayati,Maziar Gholampour-Dehaki 대한심장학회 2017 Korean Circulation Journal Vol.47 No.1
Anomalous origin of the right coronary artery from the pulmonary artery (ARCAPA) is a very rare congenital heart defect. Herein, we describe three cases of ARCAPA in an 8 months old, 18 months old, and 4 year old child. Two cases were incidentally diagnosed using a computed tomographic angiograph, and the other was incidentally diagnosed using a coronary angiograph. These cases underwent a reimplantation technique on diagnosis and resulting in positive clinical outcomes during the follow-up period which was a mean of 1.5 years.