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      Cardiogenic shock due to coronary artery disease associated with interrupted aortic arch Translated title: Choque cardiogênico decorrente de cardiomiopatia isquêmica associada à interrupção do arco aórtico

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          Abstract

          Acute pulmonary edema is a serious event. Its occurrence in association with interrupted aortic arch and coronary heart disease is rare. Recently, an old patient developed cardiogenic shock and acute pulmonary edema due to acute coronary insufficiency, associated with interrupted aortic arch. The coronary angiography revealed occlusion of the right coronary artery and 95% obstruction in the left main coronary artery, associated with interruption of the descending aorta. Coronary artery bypass graft was performed, without extracorporeal circulation, to the anterior descending coronary artery. We discuss the initial management, given the seriousness of the case.

          Translated abstract

          A associação de interrupção do arco aórtico e doença coronária é rara. Entretanto, recentemente nos deparamos com um paciente nessa condição, que culminou com choque cardiogênico e edema agudo de pulmão. A finalidade desta comunicação breve é transmitirmos e discutirmos se a conduta adotada foi a mais indicada. Sua coronária direita estava 100% ocluída e havia obstrução de 95% em tronco de coronária esquerda, associada à interrupção de aorta descendente. Realizamos apenas enxerto de veia safena para ramo da coronária esquerda, sem circulação extracorpórea. O paciente apresentou boa evolução imediata. Destacamos a conduta inicial adotada, diante da gravidade do caso.

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          Most cited references 6

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          Tratamento cirúrgico da coarctação do arco aórtico em adulto: avaliação clínica e angiocardiográfica tardia da técnica extra-anatômica

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            A case of misdiagnosed interrupted aortic arch as primary hypertension for almost two decades

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              Interrupted aortic arch in a adult: diagnosis with MSCT

               P Kosucu,  M Koşucu,  H Dinc (2006)
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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Journal
                rbccv
                Brazilian Journal of Cardiovascular Surgery
                Braz. J. Cardiovasc. Surg.
                Sociedade Brasileira de Cirurgia Cardiovascular (São José do Rio Preto )
                1678-9741
                June 2013
                : 28
                : 2
                : 290-291
                S0102-76382013000200019
                10.5935/1678-9741.20130040

                http://creativecommons.org/licenses/by/4.0/

                Product
                Product Information: SciELO Brazil
                Categories
                CARDIAC & CARDIOVASCULAR SYSTEMS
                SURGERY

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