{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T03:55:58Z","timestamp":1761710158529,"version":"3.41.2"},"reference-count":12,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,6,5]],"date-time":"2025-06-05T00:00:00Z","timestamp":1749081600000},"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:p>This study delineates the diagnostic and therapeutic strategies for acute myocardial infarction occurring years after stent implantation for Stanford type A aortic dissection. Emergency coronary angiography presented substantial technical challenges attributable to the lack of recent aortic imaging data and marked tortuosity of the brachiocephalic trunk resulting from postoperative anatomical changes. Consequently, while selective left coronary angiography was successfully completed, visualization of the right coronary artery necessitated non-selective contrast administration via a pigtail catheter. This case underscores the pivotal role of preoperative aortic computed tomography angiography (CTA) in hemodynamically stable patients, as it provides essential vascular anatomical information that may circumvent procedural complexities during coronary angiography. Building upon these observations, we advocate an \u201caorto-coronary combined assessment\u201d strategy for post-aortic surgery patients, integrating systematic imaging surveillance to facilitate early identification of coronary lesions. Such an approach permits the timely implementation of intensive medical therapy or elective revascularization, thereby mitigating the risk of acute cardiovascular events.<\/jats:p>","DOI":"10.3389\/fcvm.2025.1611019","type":"journal-article","created":{"date-parts":[[2025,6,5]],"date-time":"2025-06-05T05:29:39Z","timestamp":1749101379000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Case Report: Diagnostic and therapeutic challenges in acute myocardial infarction years after aortic replacement surgery: a case of severe vascular tortuosity"],"prefix":"10.3389","volume":"12","author":[{"given":"Yuanzhen","family":"Su","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gaixia","family":"Zhai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lei","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hongliang","family":"Tian","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,6,5]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"26","DOI":"10.14797\/mdcvj.1210","article-title":"Type A aortic dissection with antegrade intimointimal intussusception","volume":"19","author":"Lannon","year":"2023","journal-title":"Methodist Debakey Cardiovasc J"},{"key":"B2","doi-asserted-by":"publisher","first-page":"735","DOI":"10.1016\/j.jtcvs.2021.04.053","article-title":"2021 the American association for thoracic surgery expert consensusdocument: surgical treatment of acute type A aortic dissection","volume":"162","author":"Malaisrie","year":"2021","journal-title":"J Thorac Cardiovasc Surg"},{"key":"B3","doi-asserted-by":"publisher","first-page":"350","DOI":"10.1016\/j.jacc.2015.05.029","article-title":"Presentation, diagnosis, and outcomes of acute aortic dissection: 17-year trends from the international registry of acute aortic dissection","volume":"66","author":"Pape","year":"2015","journal-title":"J Am Coll Cardiol"},{"key":"B4","doi-asserted-by":"publisher","first-page":"773","DOI":"10.1016\/S0140-6736(22)01970-5","article-title":"Acute aortic dissection","volume":"401","author":"Carrel","year":"2023","journal-title":"Lancet"},{"key":"B5","doi-asserted-by":"publisher","first-page":"e0281352","DOI":"10.1371\/journal.pone.0281352","article-title":"Biomarkers for prediction of neurological complications after acute stanford type A aortic dissection: a systematic review and meta-analysis","volume":"18","author":"Si","year":"2023","journal-title":"PLoS One"},{"key":"B6","doi-asserted-by":"publisher","first-page":"4191277","DOI":"10.1155\/2023\/4191277","article-title":"Experience of the postoperative intensive care treatment of stanford type A aortic dissection","volume":"2023","author":"Bai","year":"2023","journal-title":"Int J Clin Pract"},{"key":"B7","doi-asserted-by":"publisher","first-page":"1472815","DOI":"10.3389\/fcvm.2024.1472815","article-title":"Clinical analysis of Hem-o-lok closure of the left subclavian artery stump in acute Stanford type A aortic dissection","volume":"11","author":"Li","year":"2024","journal-title":"Front Cardiovasc Med"},{"key":"B8","doi-asserted-by":"publisher","first-page":"585","DOI":"10.1016\/0003-4975(94)00880-9","article-title":"Coronary artery disease in patients with type A aortic dissection","volume":"59","author":"Creswell","year":"1995","journal-title":"Ann Thorac Surg"},{"key":"B9","doi-asserted-by":"publisher","first-page":"849","DOI":"10.1016\/0002-9149(84)90418-1","article-title":"Risk factors for aortic dissection: a necropsy study of 161 cases","volume":"53","author":"Larson","year":"1984","journal-title":"Am J Cardiol"},{"key":"B10","doi-asserted-by":"publisher","first-page":"e266","DOI":"10.1161\/CIR.0b013e3181d4739e","article-title":"2010 ACCF\/AHA\/AATS\/ACR\/ASA\/SCA\/SCAI\/SIR\/STS\/SVM guidelines for the diagnosis and management of patients with thoracic aortic disease","volume":"121","author":"Hiratzka","year":"2010","journal-title":"Circulation"},{"key":"B11","doi-asserted-by":"publisher","first-page":"876","DOI":"10.1016\/j.jcin.2013.05.003","article-title":"Survival after endovascular therapy in patients with type B aortic dissection: a report from the international registry of acute aortic dissection (IRAD)","volume":"6","author":"Fattori","year":"2013","journal-title":"JACC Cardiovasc Interv"},{"key":"B12","doi-asserted-by":"publisher","first-page":"87","DOI":"10.1093\/eurheartj\/ehy394","article-title":"2018 ESC\/EACTS guidelines on myocardial revascularization","volume":"40","author":"Neumann","year":"2019","journal-title":"Eur Heart J"}],"container-title":["Frontiers in Cardiovascular Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fcvm.2025.1611019\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,5]],"date-time":"2025-06-05T05:29:40Z","timestamp":1749101380000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fcvm.2025.1611019\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,5]]},"references-count":12,"alternative-id":["10.3389\/fcvm.2025.1611019"],"URL":"https:\/\/doi.org\/10.3389\/fcvm.2025.1611019","relation":{},"ISSN":["2297-055X"],"issn-type":[{"type":"electronic","value":"2297-055X"}],"subject":[],"published":{"date-parts":[[2025,6,5]]},"article-number":"1611019"}}