[Acute Stanford Type A Aortic Dissection with Right Ventricular Infarction Treated with Total Arch Replacement After Percutaneous Coronary Intervention:Report of a Case].

A 60-year-old man was admitted to our hospital with chest and back pain. Electrocardiogram, echocardiography, and contrast-enhanced computed tomography (CT) confirmed a Stanford type A acute aortic dissection with right ventriclar infarction and left ventricular inferior wall asynergy due to right coronary artery malperfusion. The patient presented with shock vital signs. So, immediately percutaneous coronary intervention (PCI) was performed to obtain the right coronary revascularization, after which total arch replacement and frozen elefant trunk was performed. Postoperatively, the patient remained stable without right heart failure. In patients with right ventricular infarction, preoperative PCI prior to surgery may be a useful option.