{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T15:49:56Z","timestamp":1753890596425,"version":"3.41.2"},"reference-count":23,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,1,31]],"date-time":"2025-01-31T00:00:00Z","timestamp":1738281600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Cardiovasc. Med."],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Acute myocardial infarction (AMI) is one of the most serious complications of acute type A aortic dissection (ATAAD) and markedly increases patient mortality. Simultaneous treatment strategies remain controversial. How to improve the treatment of these patients remains a critical challenge for cardiovascular surgeons.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case presentation<\/jats:title><jats:p>All three patients who experienced chest pain were admitted to emergency department of our hospital. The 12-lead electrocardiogram revealed ST-segment depression, myocardial enzyme levels were significantly elevated. Emergency physicians diagnosed ATAAD with AMI, and emergency surgery was planned in collaboration with the cardiovascular surgery team. One-stage surgery for coronary revascularization and central aortic repair were performed, extracorporeal membrane oxygenation (ECMO) was implanted, ECMO was discontinued when hemodynamics stabilized. The patient ultimately recovered well and was discharged.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>For ATAAD combined with right ventricular AMI, one-stage surgery for coronary revascularization and central aortic repair, supported by ECMO as bridge, can be life-saving treatment strategy, the prognosis for all three patients was excellent.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fcvm.2025.1463764","type":"journal-article","created":{"date-parts":[[2025,1,31]],"date-time":"2025-01-31T06:41:23Z","timestamp":1738305683000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Case Report: Surgery combined with extracorporeal membraneoxygenation for acute type A aortic dissection complicated with acute myocardial infarction"],"prefix":"10.3389","volume":"12","author":[{"given":"Jianming","family":"Xia","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yan","family":"Qiu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shuo","family":"Chang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ying","family":"Feng","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heng","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaoqi","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,1,31]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"217","DOI":"10.1097\/00005792-195809000-00003","article-title":"Dissecting aneurysm of the aorta: a review of 505 cases","volume":"37","author":"Hirst","year":"1958","journal-title":"Medicine (Baltimore)"},{"key":"B2","doi-asserted-by":"publisher","first-page":"1009","DOI":"10.1001\/jamacardio.2022.2718","article-title":"Early mortality in type a acute aortic dissection: insights from the international registry of acute aortic dissection","volume":"7","author":"Harris","year":"2022","journal-title":"JAMA Cardiol"},{"key":"B3","doi-asserted-by":"publisher","first-page":"610","DOI":"10.1097\/HCO.0000000000000667","article-title":"Type a aortic dissection complicated by malperfusion syndrome","volume":"34","author":"Norton","year":"2019","journal-title":"Curr Opin Cardiol"},{"key":"B4","doi-asserted-by":"publisher","first-page":"3827","DOI":"10.1111\/jocs.16872","article-title":"Malperfusion syndrome in acute type a aortic dissection: thinking beyond the proximal repair","volume":"37","author":"Bayamin","year":"2022","journal-title":"J Card Surg"},{"key":"B5","doi-asserted-by":"publisher","first-page":"3835","DOI":"10.1111\/jocs.16869","article-title":"Malperfusion syndrome in acute type a aortic dissection: it\u2019s not what you know, it\u2019s what you can prove!","volume":"37","author":"Williams","year":"2022","journal-title":"J Card Surg"},{"key":"B6","doi-asserted-by":"publisher","first-page":"255","DOI":"10.1016\/j.ejcts.2007.04.012","article-title":"Significance of malperfusion syndromes prior to contemporary surgical repair for acute type a dissection: outcomes and need for additional revascularizations","volume":"32","author":"Geirsson","year":"2007","journal-title":"Eur J Cardiothorac Surg"},{"key":"B7","doi-asserted-by":"publisher","first-page":"1669","DOI":"10.1016\/S0003-4975(97)01100-4","article-title":"Surgical delay for acute type a dissection with malperfusion","volume":"64","author":"Deeb","year":"1997","journal-title":"Ann Thorac Surg"},{"key":"B8","doi-asserted-by":"publisher","first-page":"65","DOI":"10.21037\/jovs.2018.03.13","article-title":"Malperfusion syndromes in type a aortic dissection: what we have learned from irad","volume":"4","author":"Berretta","year":"2018","journal-title":"J Vis Surg"},{"key":"B9","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2024.01.006","article-title":"Optimized strategy to improve the outcomes of acute type a aortic dissection with malperfusion syndrome","author":"Chen","year":"2024","journal-title":"J Thorac Cardiovasc Surg"},{"key":"B10","doi-asserted-by":"publisher","first-page":"247.","DOI":"10.11604\/pamj.2020.36.247.23821","article-title":"An uncommon acute type a aortic dissection mimicking an inferior stemi","volume":"36","author":"Benbouchta","year":"2020","journal-title":"Pan Afr Med J"},{"key":"B11","doi-asserted-by":"publisher","first-page":"491","DOI":"10.21470\/1678-9741-2018-0060","article-title":"A complete occlusion of right coronary artery due to Stanford type a aortic dissection - 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