{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T23:48:40Z","timestamp":1740181720267,"version":"3.37.3"},"reference-count":10,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,1,29]],"date-time":"2024-01-29T00:00:00Z","timestamp":1706486400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,1,29]],"date-time":"2024-01-29T00:00:00Z","timestamp":1706486400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Egypt Heart J"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Acute aortic dissection (AAD) with impaired perfusion of the left coronary artery has a poor prognosis, even after urgent radical aortic surgery, due to extensive myocardial damage. Although Impella, a microaxial-flow catheter pump, is useful in managing acute myocardial infarction, it is generally contraindicated in patients with AAD because it is an intra-aortic device and the aortic structure is compromised in these cases. Here, we introduce a novel intervention that allowed a planned aortic repair after managing circulation using Impella and venoarterial extracorporeal membrane oxygenation in a case of AAD with left main trunk malperfusion.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>A 40-year-old man presented with cardiogenic shock. Percutaneous coronary intervention was performed to address left main trunk obstruction using an intra-aortic balloon pump; however, circulatory instability persisted. The patient was transferred to our hospital after venoarterial extracorporeal membrane oxygenation. Impella CP\u2122 was used to improve his circulatory status. However, a subsequent CT scan confirmed an AAD diagnosis. After 5\u00a0days of stable circulatory support, the patient underwent aortic root replacement and coronary artery bypass grafting.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>In patients with AAD and coronary malperfusion, adjunctive circulatory management with Impella may be a valuable therapeutic option.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s43044-024-00439-9","type":"journal-article","created":{"date-parts":[[2024,1,29]],"date-time":"2024-01-29T08:02:24Z","timestamp":1706515344000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Preoperative management using Impella support for acute aortic dissection with left coronary malperfusion: a case report"],"prefix":"10.1186","volume":"76","author":[{"given":"Takahiro","family":"Shojima","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuyoshi","family":"Takagi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kosuke","family":"Saku","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomofumi","family":"Fukuda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7861-5193","authenticated-orcid":false,"given":"Eiki","family":"Tayama","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,1,29]]},"reference":[{"issue":"3","key":"439_CR1","doi-asserted-by":"publisher","first-page":"552","DOI":"10.1067\/mtc.2001.112534","volume":"121","author":"E Neri","year":"2001","unstructured":"Neri E, Toscano T, Papalia U et al (2001) Proximal aortic dissection with coronary malperfusion: presentation, management, and outcome: presentation. J Thorac Cardiovasc Surg 121(3):552\u2013560. https:\/\/doi.org\/10.1067\/mtc.2001.112534","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"5","key":"439_CR2","doi-asserted-by":"publisher","first-page":"1271","DOI":"10.1378\/chest.117.5.1271","volume":"117","author":"I M\u00e9sz\u00e1ros","year":"2000","unstructured":"M\u00e9sz\u00e1ros I, M\u00f3rocz J, Szl\u00e1vi J et al (2000) Epidemiology and clinicopathology of aortic dissection. Chest 117(5):1271\u20131278. https:\/\/doi.org\/10.1378\/chest.117.5.1271","journal-title":"Chest"},{"issue":"5","key":"439_CR3","doi-asserted-by":"publisher","first-page":"1471","DOI":"10.1016\/s0003-4975(03)00899-3","volume":"76","author":"K Kawahito","year":"2003","unstructured":"Kawahito K, Adachi H, Murata S, Yamaguchi A, Ino T (2003) Coronary malperfusion due to type A aortic dissection: mechanism and surgical management. Ann Thorac Surg 76(5):1471\u20131476. https:\/\/doi.org\/10.1016\/s0003-4975(03)00899-3. (discussion 1476)","journal-title":"Ann Thorac Surg"},{"key":"439_CR4","doi-asserted-by":"publisher","first-page":"49","DOI":"10.1016\/j.ijcard.2022.10.021","volume":"371","author":"Y Saito","year":"2023","unstructured":"Saito Y, Hashimoto O, Nakayama T et al (2023) Right versus left coronary artery involvement in patients with type A acute aortic dissection. Int J Cardiol 371:49\u201353. https:\/\/doi.org\/10.1016\/j.ijcard.2022.10.021","journal-title":"Int J Cardiol"},{"issue":"2","key":"439_CR5","doi-asserted-by":"publisher","first-page":"483","DOI":"10.1016\/j.jtcvs.2018.02.007","volume":"156","author":"K Uchida","year":"2018","unstructured":"Uchida K, Karube N, Kasama K et al (2018) Early reperfusion strategy improves the outcomes of surgery for type A acute aortic dissection with malperfusion. J Thorac Cardiovasc Surg 156(2):483\u2013489. https:\/\/doi.org\/10.1016\/j.jtcvs.2018.02.007","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"2","key":"439_CR6","doi-asserted-by":"publisher","first-page":"333","DOI":"10.1007\/s12928-021-00793-4","volume":"37","author":"Y Taguchi","year":"2022","unstructured":"Taguchi Y, Kubo S, Ikuta A et al (2022) Percutaneous coronary intervention for left main coronary artery malperfusion in acute type A aortic dissection. Cardiovasc Interv Ther 37(2):333\u2013342. https:\/\/doi.org\/10.1007\/s12928-021-00793-4","journal-title":"Cardiovasc Interv Ther"},{"issue":"5","key":"439_CR7","doi-asserted-by":"publisher","first-page":"e004397","DOI":"10.1161\/CIRCHEARTFAILURE.117.004397","volume":"11","author":"K Saku","year":"2018","unstructured":"Saku K, Kakino T, Arimura T et al (2018) Left ventricular mechanical unloading by total support of Impella in myocardial infarction reduces infarct size, preserves left ventricular function, and prevents subsequent heart failure in dogs. Circ Heart Fail 11(5):e004397. https:\/\/doi.org\/10.1161\/CIRCHEARTFAILURE.117.004397","journal-title":"Circ Heart Fail"},{"issue":"2","key":"439_CR8","doi-asserted-by":"publisher","first-page":"87","DOI":"10.1007\/s12265-019-09876-3","volume":"12","author":"NK Kapur","year":"2019","unstructured":"Kapur NK, Reyelt L, Swain L et al (2019) Mechanical left ventricular unloading to reduce infarct size during acute myocardial infarction: insight from preclinical and clinical studies. J Cardiovasc Transl Res 12(2):87\u201394. https:\/\/doi.org\/10.1007\/s12265-019-09876-3","journal-title":"J Cardiovasc Transl Res"},{"issue":"1","key":"439_CR9","doi-asserted-by":"publisher","first-page":"21","DOI":"10.1097\/MAT.0000000000000767","volume":"65","author":"SM Patel","year":"2019","unstructured":"Patel SM, Lipinski J, Al-Kindi SG et al (2019) Simultaneous venoarterial extracorporeal membrane oxygenation and percutaneous left ventricular decompression therapy with Impella is associated with improved outcomes in refractory cardiogenic shock. ASAIO J 65(1):21\u201328. https:\/\/doi.org\/10.1097\/MAT.0000000000000767","journal-title":"ASAIO J"},{"issue":"8","key":"439_CR10","doi-asserted-by":"publisher","first-page":"e04674","DOI":"10.1002\/ccr3.4674","volume":"9","author":"H Yoshida","year":"2021","unstructured":"Yoshida H, Ichihara Y, Hoki R, Niinami H (2021) Impella insertion for residual aortic dissection. Clin Case Rep 9(8):e04674. https:\/\/doi.org\/10.1002\/ccr3.4674","journal-title":"Clin Case Rep"}],"container-title":["The Egyptian Heart Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s43044-024-00439-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s43044-024-00439-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s43044-024-00439-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,29]],"date-time":"2024-01-29T20:05:28Z","timestamp":1706558728000},"score":1,"resource":{"primary":{"URL":"https:\/\/tehj.springeropen.com\/articles\/10.1186\/s43044-024-00439-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,29]]},"references-count":10,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["439"],"URL":"https:\/\/doi.org\/10.1186\/s43044-024-00439-9","relation":{},"ISSN":["2090-911X"],"issn-type":[{"type":"electronic","value":"2090-911X"}],"subject":[],"published":{"date-parts":[[2024,1,29]]},"assertion":[{"value":"21 November 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 January 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 January 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"All clinical practices were conducted in accordance with the principles of the Declaration of Helsinki.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient for publication of this case report and accompanying images.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"11"}}