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Complete atrioventricular block during thoracic endovascular aortic repair


Department of Anesthesiology, China Medical University Hospital, China Medical University, Taichung, Taiwan

Correspondence Address:
Yi-Ying Chiang
Department of Anesthesiology, China Medical University Hospital, No. 2 Yude Road, Taichung 40447
Taiwan
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_68_18

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Year : 2019  |  Volume : 22  |  Issue : 3  |  Page : 325-327

 

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Acute coronary syndrome (ACS) and acute aortic syndrome (AAS) are both life-threatening emergencies. We report a case of ACS with thoracic aneurysm. Thoracic endovascular aortic repair (TEVAR) was arranged. However, perioperative complete atrioventricular block occurred and soon progressed to ST-elevation myocardial infarction. In the case of chest discomfort with elevated troponin I and thoracic aneurysm, it is of tremendous importance to cope with both ACS and the possible AAS. In the era of hybrid operation room, coronary catheterization and intervention first followed by TEVAR may provide timely and more comprehensive treatment.






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Department of Anesthesiology, China Medical University Hospital, China Medical University, Taichung, Taiwan

Correspondence Address:
Yi-Ying Chiang
Department of Anesthesiology, China Medical University Hospital, No. 2 Yude Road, Taichung 40447
Taiwan
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_68_18

Rights and Permissions

Acute coronary syndrome (ACS) and acute aortic syndrome (AAS) are both life-threatening emergencies. We report a case of ACS with thoracic aneurysm. Thoracic endovascular aortic repair (TEVAR) was arranged. However, perioperative complete atrioventricular block occurred and soon progressed to ST-elevation myocardial infarction. In the case of chest discomfort with elevated troponin I and thoracic aneurysm, it is of tremendous importance to cope with both ACS and the possible AAS. In the era of hybrid operation room, coronary catheterization and intervention first followed by TEVAR may provide timely and more comprehensive treatment.






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