Download PDF
CC BY 4.0 · Aorta (Stamford) 2021; 09(05): 184-185
DOI: 10.1055/s-0041-1732396
Case Report

Type A Aortic Dissection Masquerading as an Inferior Myocardial Infarction

Azhar Hussain 
1   Department of Cardiac Surgery, St. Bartholomew's Hospital, London, United Kingdom
,
Alessia Rossi
1   Department of Cardiac Surgery, St. Bartholomew's Hospital, London, United Kingdom
,
Alexander Smith
1   Department of Cardiac Surgery, St. Bartholomew's Hospital, London, United Kingdom
,
Ana Lopez-Marco
1   Department of Cardiac Surgery, St. Bartholomew's Hospital, London, United Kingdom
,
Amina Khalil
1   Department of Cardiac Surgery, St. Bartholomew's Hospital, London, United Kingdom
,
Neil Roberts
1   Department of Cardiac Surgery, St. Bartholomew's Hospital, London, United Kingdom
› Author Affiliations Funding None.
› Further Information
   Permissions and Reprints

Abstract

Type A aortic dissection is a life-threatening condition with a wide range of clinical manifestations. Dissection can sometimes mimic an acute myocardial infarction due to similar presenting symptoms and initial clinical investigations. We report the case of a 52-year-old male who presented with an inferior ST-segment elevation myocardial infarction with two drug-eluting stents inserted as a stabilizing intervention prior to surgical repair of an acute aortic dissection.

Keywords

aortic dissection - myocardial infarction - percutaneous coronary intervention


Publication History

Received: 26 August 2020

Accepted: 21 March 2021

Article published online:
08 December 2021

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

  • References

  • 1 Isselbacher EM, Bonaca MP, Di Eusanio M. et al; International Registry of Aortic Dissection (IRAD) Investigators. Recurrent aortic dissection: observations from the International Registry of Aortic Dissection. Circulation 2016; 134 (14) 1013-1024
    CrossrefPubMedGoogle Scholar
  • 2 Hagan PG, Nienaber CA, Isselbacher EM. et al. The International Registry of Acute Aortic Dissection (IRAD): new insights into an old disease. JAMA 2000; 283 (07) 897-903
    CrossrefPubMedGoogle Scholar
  • 3 Spittell PC, Spittell Jr. JA, Joyce JW. et al. Clinical features and differential diagnosis of aortic dissection: experience with 236 cases (1980 through 1990). Mayo Clin Proc 1993; 68 (07) 642-651
    CrossrefPubMedGoogle Scholar