Semi-Percutaneous Short-Term Support of Right Heart Failure in Acute Aortic Dissection

Abstract

Coronary malperfusion in acute aortic dissection type A is associated with increased mortality. The present case shows the management of a patient with an acute right ventricular infarction due to coronary avulsion, with the coronary bypass performed first, followed by aortic surgery and temporary extracorporeal right ventricular support, which was successfully weaned percutaneously after recovery while maintaining a low anticoagulation strategy.