Atypical Coronary Occlusion in a Patient with ST-Elevation Myocardial Infarction Caused by a Masked Aortic Dissection.
- Author:
Byoung Won PARK
1
;
Dae Chul SEO
;
In Ki MOON
;
Jin Wook CHUNG
;
Duk Won BANG
;
Min Su HYON
;
Won Ho CHANG
Author Information
1. Department of Internal Medicine, Soonchunhyang University Hospital, Soonchunhyang University College of Medicine, Seoul, Korea. jjw25@schmc.ac.kr
- Publication Type:Case Report
- Keywords:
Dissection, Aorta;
Myocardial infarction;
Myocardial revascularization
- MeSH:
Aorta;
Atherosclerosis;
Chest Pain;
Coronary Occlusion*;
Coronary Vessels;
Diagnosis;
Emergencies;
General Surgery;
Humans;
Masks*;
Myocardial Infarction*;
Myocardial Revascularization
- From:Korean Journal of Medicine
2013;85(5):516-520
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
ST-elevation myocardial infarction (STEMI) caused by an acute aortic dissection is relatively rare. A diagnosis of dissection can be missed and the situation can become complicated. We report a patient who presented with acute aortic dissection responsible for STEMI related to a dissecting flap into the right coronary artery. This case emphasizes the need for careful assessment of the aorta in cases of atypical coronary occlusion in patients with STEMI without evidence of atherosclerosis in non-culprit coronary segments. The patient was discharged 7 days after primary percutaneous intervention for STEMI. However, she revisited the emergency department for recurrent chest pain and aortic dissection and was diagnosed and managed successfully with surgery.
