A 57-year-old @entity1 presented with @entity615 , diagnosed with acute @entity1580 , and we performed emergency ascending aortic replacement. During surgery, until cardiopulmonary bypass was started, the dissection did not extend to the orifice of the both coronary arteries. When aortic replacement was completed and just after the return of spontaneous beating, @entity2224 ( @entity2224 ) suddenly occurred. At that time, transesophageal echocardiography (TEE) revealed that dissection extended from the left main trunk (LMT) to the left circumflex artery (LCX). Recurrent @entity2224 and circulatory collapse necessitated the application of a percutaneous cardiopulmonary support system (PCPS), while the surgeons performed cardiac massage. Additional emergency coronary artery bypass surgery (CABG) was immediately implemented. After the CABG, TEE showed that the true lumens of the LMT and LCX were dilated, allowing an increased flow to the LAD and LCX. The @entity1 was discharged 2 months later. Although rare, @entity63 can be a complication of @entity697 , resulting in decreased survival. Development of dissection to the coronary artery can also occur both intra- and postoperatively. In such instances, rapid diagnosis and treatment are important to save the @entity1 .

[Transesophageal Echocardiography Was Useful to Determine a Therapeutic Strategy for Coronary Artery Ischemia during Surgery for Acute XXXX : A Case Report].

@entity1 :: ('9606', 'Species') :: ['woman', 'patient'] @entity697 :: ('MESH:D000208', 'Disease') :: ['acute aortic dissection'] @entity63 :: ('MESH:D007511', 'Disease') :: ['coronary ischemia'] @entity615 :: ('MESH:D001416', 'Disease') :: ['acute back pain'] @entity2224 :: ('MESH:D014693', 'Disease') :: ['ventricular fibrillation', 'Vf'] @entity1580 :: ('MESH:C562834', 'Disease') :: ['type A aortic dissection']
@entity1580 :: (MESH:C562834,Disease) :: ['Type A Aortic Dissection']
