scholarly journals Atypical Coronary Occlusion in a Patient with ST-Elevation Myocardial Infarction Caused by a Masked Aortic Dissection

2013 ◽  
Vol 85 (5) ◽  
pp. 516
Author(s):  
Byoung-Won Park ◽  
Dae-Chul Seo ◽  
In-Ki Moon ◽  
Jin-Wook Chung ◽  
Duk-Won Bang ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Aortic Dissection ◽  
Coronary Occlusion ◽  
St Elevation Myocardial Infarction ◽  
St Elevation

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 Value of the SYNTAX Score in ST-Elevation Myocardial Infarction Patients With a Concomitant Chronic Total Coronary Occlusion(from the EXPLORE Trial)

2019 ◽  
Vol 123 (7) ◽  
pp. 1035-1043 ◽  
Author(s):  
Ivo M. van Dongen ◽  
Joëlle Elias ◽  
Héctor M. García-García ◽  
Loes P. Hoebers ◽  
Dagmar M. Ouweneel ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Coronary Occlusion ◽  
St Elevation Myocardial Infarction ◽  
Syntax Score ◽  
St Elevation ◽  
Chronic Total Coronary Occlusion

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.

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