Study |
Year |
Study population (n) |
Mean age (years) |
Gender (Male:
Female) |
Comorbidities/Associated Disease |
Comorbidities/Associated
Disease |
Comorbidities/Associated Disease |
Comorbidities/Associated
Disease |
Comorbidities/Associated Disease |
Mode of diagnosis (for
coronary involvement) |
Coronary arteries involved (Right, Left or Both) |
Cause of coronary artery malperfusion (if
indicated)
|
|
|
|
|
|
Hypertension |
Diabetes |
Smoking |
Previous CAD |
Other |
|
|
|
Kawahito et al.
|
2003
|
12
|
60.8 ± 8.3
|
4:8
|
66.67% (8/12)
|
|
|
0%
|
Marfan’s (8.33%, 1/12)
|
9 patients developed MI
prior to surgery (ST elevation on ECG, abnormal LV wall motion on ECHO
and high CK levels.
3 patients developed dissection
after aortic declamping (seen in intraoperative TEE, postoperative
coronary angiogram, or at autopsy.
|
Right- 8
Left- 2
Both- 2
|
Compression- 2, Coronary dissection- 7
Coronary disruption- 3
Malperfusion classification:
Type A- 2
Type B- 7
Type C- 3
|
Eren et al.
|
2007
|
14
|
56.7 ± 8.4 years
|
11:3
|
100% (14/14)
|
|
|
21.43% (3/14)
|
Renal insufficiency (14.29%, 2/14)
COPD (35.71%, 5/14)
Marfan’s (14.29%, 2/14).
|
11 patients had ST elevation on ECG, abnormal LV wall motion on ECHO and
very CK levels.
3 patients were found to have dissection intraoperatively using
TEE
|
Right- 8
Left- 2
Both- 4
|
Dissection – 14
Type A- 3
Type B- 7
Type C- 4
|
Chen et al.
|
2013
|
20
|
51.8 ± 11.8
|
14:6
|
60% (12/20)
|
15% (3/20)
|
25% (5/20)
|
5% (1/20)
|
COPD (5%, 1/20)
Marfan’s (10%, 2/20)
|
14 patients had myocardial ischaemia preoperatively.
6 patients were diagnosed during surgery.
|
Right- 15
Left- 5
|
Coronary involvement:
Type A- 6
Type B- 5
Type C- 2
Type D- 7
(Classified by the modified Neri classification described in the
paper)
|
Neri et al.
|
2001
|
24
|
65.5 years (41-78 years)
|
14:10
|
100% (24/24)
|
|
|
0%
|
COPD (12%, 3/24)
Renal insufficiency (4%, 1/24)
|
ECG, echocardiogram, serum CK levels +/- coronary angiography.
|
Right- 11
Left- 4
Both- 9
|
Coronary dissection
|
Imoto et al.
|
2013
|
75
|
60.8 ± 12.2 years
|
35:40
|
67% (50/75)
|
|
|
0%
|
Renal Failure (3%, 2/75)
Marfans (3%, 2/75)
Cerebrovascular disease (5%, 4/75) Valvular heart disease (4%, 3/75)
History of type B aortic dissection (5%, 4/75)
|
Intraoperative examination, coronary angiography or TEE.
ECG/Echo also used to diagnose myocardial ischaemia/infarction
|
Right- 26
Left- 19
Both- 3
|
Coronary Dissection
|
Pego-Fernandes et al.
|
1999
|
11
|
48 years (37-62 years)
|
6:5
|
81.8% (9/11)
|
|
|
|
Marfan’s (18.2%, 2/11)
|
ECG, Cineangiograms,
Intraoperative examination
|
Right- 9
Both- 2
|
Dissection and compression
|
Lajevardi et al.
|
2012
|
1
|
73
|
Female
|
100% (1/1)
|
|
|
|
Alzheimer’s
|
ECG,
Coronary angiography,
Intraoperative TEE
|
Left
|
Compression
(Intimo-intimal
intussusception of a circumferential intimal tear of ascending
aorta).
|