scholarly journals TYPE A AORTIC DISSECTION PRESENTING WITH INFERIOR ST ELEVATION MYOCARDIAL INFARCTION

2021 ◽  
Vol 77 (18) ◽  
pp. 1943
Author(s):  
Binaya Basyal ◽  
Brian Case ◽  
Jeffrey E. Cohen ◽  
William Suddath
Keyword(s):  
Myocardial Infarction ◽  
Aortic Dissection ◽  
Type A ◽  
St Elevation Myocardial Infarction ◽  
Type A Aortic Dissection ◽  
St Elevation

Successful Primary PCI in Stanford Type A Aortic Dissection Complicated by Inferior ST-Elevation Myocardial Infarction: A Case in a Facility with No Surgical Backup

2021 ◽  
Author(s):  
Suko Adiarto ◽  
Novi Kurnianingsih ◽  
Indra Prasetya ◽  
Faris W. Nugroho ◽  
Raman Uberoi
Keyword(s):  
Myocardial Infarction ◽  
Aortic Dissection ◽  
Elective Surgery ◽  
Aortic Surgery ◽  
Type A ◽  
Coronary Intervention ◽  
St Elevation Myocardial Infarction ◽  
Corrective Surgery ◽  
Type A Aortic Dissection ◽  
St Elevation

AbstractMortality of type A aortic dissection (TAAD) complicated with coronary malperfusion syndrome is very high even when emergency surgery is performed. Several reports suggested that primary percutaneous coronary intervention (PPCI) followed by immediate corrective surgery may reduce mortality. In many countries, immediate transfer to an aortic surgery center may not be possible. We report a case of TAAD complicated by coronary malperfusion successfully treated with PPCI followed by elective corrective surgery. A 48-year-old man was referred to emergency department with acute inferior ST-elevation myocardial infarction (STEMI) and underwent PPCI. During the procedure, we realized that the cause of STEMI was TAAD. We decided to continue because the patient experienced seizures and bradycardia. Subsequently, echocardiography and computed tomography confirmed the dissection. The patient was discharged and referred to the National Cardiovascular Center where he underwent successful elective surgery. In this patient, immediate revascularization was lifesaving and served as a bridging procedure before surgical correction.

False Lumen Catheterization in a Patient Who Has Type A Aortic Dissection That Mimics Acute Inferior Myocardial Infarction: A Case Report

2015 ◽  
Vol 18 (5) ◽  
pp. 208
Author(s):  
Erhan Kaya ◽  
Hakan Fotbolcu ◽  
Zeki Şimşek ◽  
Ömer Işık
Keyword(s):  
Myocardial Infarction ◽  
Case Report ◽  
Aortic Dissection ◽  
Cardiac Catheterization ◽  
False Lumen ◽  
Type A ◽  
Inferior Myocardial Infarction ◽  
Type A Aortic Dissection ◽  
Acute Inferior Myocardial Infarction ◽  
Catheterization Procedure

We report a 61-year-old patient who suffered from a type A aortic dissection that mimicked an acute inferior myocardial infarction. During a routine cardiac catheterization procedure, diagnostic catheters can be inserted accidentally into the false lumen. Invasive cardiologists should keep this complication in mind.

scholarly journals Pericardial Effusion in a Patient with Non-ST-Elevation Myocardial Infarction: Beware of a Hidden Malefactor

2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
Mamatha Punjee Raja Rao ◽  
Prashanth Panduranga ◽  
Mahmood Al-Jufaili
Keyword(s):  
Myocardial Infarction ◽  
Pericardial Effusion ◽  
Aortic Dissection ◽  
Acute Aortic Dissection ◽  
St Elevation Myocardial Infarction ◽  
Elderly Hypertensive Patient ◽  
Coronary Syndrome ◽  
Elderly Hypertensive ◽  
St Elevation ◽  
Suspected Diagnosis

Pericarditis with pericardial effusion in acute coronary syndrome is seen in patients with ST-elevation myocardial infarction specifically when infarction is anterior, extensive, and Q wave. It is very uncommon to have pericardial effusion in a patient with non-ST-elevation myocardial infarction. We present an elderly hypertensive patient who was diagnosed as non-ST-elevation myocardial infarction with pericardial effusion that turned out to be acute aortic dissection with catastrophic end. We conclude that, in patients with suspected diagnosis of non-ST-elevation myocardial infarction or unstable angina, if pericardial effusion is detected on echocardiography, aortic dissection needs to be considered.

scholarly journals Catheter directed diagnosis of ST-segment elevation myocardial infarction induced by type A aortic dissection

Medicine ◽  
2020 ◽  
Vol 99 (3) ◽  
pp. e18796
Author(s):  
Chi-Yao Huang ◽  
Yu-Po Hung ◽  
Tzu-Hsiang Lin ◽  
Szu-Ling Chang ◽  
Wen-Lieng Lee ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Aortic Dissection ◽  
Type A ◽  
Type A Aortic Dissection ◽  
St Segment Elevation ◽  
Segment Elevation Myocardial Infarction ◽  
St Segment

scholarly journals Early misdiagnosis of acute aortic dissection: A case report and analysis of the causes

2016 ◽  
Vol 4 (1) ◽  
pp. 15
Author(s):  
Xiao-yan Chen ◽  
Fan-liang Kong ◽  
Tong-guo Wu
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Case Report ◽  
Aortic Dissection ◽  
Emergency Room ◽  
Male Patient ◽  
Acute Aortic Dissection ◽  
Type A ◽  
Ascending Aorta ◽  
Type A Aortic Dissection

Type A aortic dissection is a catastrophic clinical entity involving the ascending aorta. In this case report, a patient was admitted to the emergency room with a presentation resembling acute myocardial infarction (AMI) that led to the inappropriate administration of anticoagulant agents or platelet. This is a case report of a 69-year-old male patient with early misdiagnosis and analysis of type A aortic dissection with discussion on the causes of misdiagnosis in light of the literature.

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