1.Peripartum acute anterior ST segment elevation myocardial infarction: an uncommon presentation of acute aortic dissection.
Abdul Razakjr OMAR ; Wei-Ping GOH ; Yean-Teng LIM
Annals of the Academy of Medicine, Singapore 2007;36(10):854-856
INTRODUCTIONAtherosclerotic coronary artery thrombosis is the most common cause of acute myocardial infarction.
CLINICAL PICTUREA 30-year-old lady presented with acute peripartum massive anterior ST segment myocardial infarction and cardiogenic shock. This was due to acute Stanford type A aortic dissection with the intimal flap occluding the left coronary ostium. The initial diagnosis was not apparent. Echocardiography confirmed the diagnosis.
TREATMENT AND OUTCOMEShe underwent emergency surgical repair (Bentall procedure). Pathology confirmed underlying idiopathic cystic medial degeneration.
CONCLUSIONA high index of clinical suspicion is required in acute myocardial infarction presenting without traditional cardiovascular risk factors.
Acute Disease ; Adult ; Aneurysm, Dissecting ; complications ; diagnosis ; surgery ; Aortic Aneurysm ; complications ; diagnosis ; surgery ; Echocardiography ; Electrocardiography ; Female ; Humans ; Myocardial Infarction ; etiology ; physiopathology ; Pregnancy ; Pregnancy Complications, Cardiovascular ; Shock, Cardiogenic ; etiology
2.Pocket flashlight-elicited Quincke pulse for aortic dissection diagnosis.
Atsushi MIZUNO ; Koichiro NIWA
The Korean Journal of Internal Medicine 2013;28(5):631-631
No abstract available.
Acute Disease
;
Aneurysm, Dissecting/complications/*diagnosis/physiopathology
;
Aortic Aneurysm/complications/*diagnosis/physiopathology
;
Aortic Valve Insufficiency/*diagnosis/etiology/physiopathology
;
Fingers/*blood supply
;
Humans
;
Light/*diagnostic use
;
Male
;
Middle Aged
;
Predictive Value of Tests
;
*Pulse
3.Spontaneous perforation and dissection of the sinus of Valsalva and interventricular septum with intracardiac thrombus in a patient with Behcet's disease.
Yoon Jung JANG ; Jun Young KIM ; Kyung Been LEE ; Gun Wung NA ; Won Jae LEE ; Won Il PARK ; Mirae LEE
The Korean Journal of Internal Medicine 2015;30(2):252-255
No abstract available.
Aneurysm, Dissecting/diagnosis/*etiology/physiopathology/therapy
;
Anticoagulants/therapeutic use
;
Aortic Aneurysm/diagnosis/*etiology/physiopathology/therapy
;
Behcet Syndrome/*complications/diagnosis/drug therapy
;
Cerebral Infarction/diagnosis/etiology
;
Diffusion Magnetic Resonance Imaging
;
Echocardiography, Doppler, Color
;
Electrocardiography
;
Hemodynamics
;
Humans
;
Immunosuppressive Agents/therapeutic use
;
Male
;
Middle Aged
;
*Sinus of Valsalva/physiopathology/ultrasonography
;
Thrombosis/diagnosis/drug therapy/*etiology/physiopathology
;
Ventricular Septal Rupture/diagnosis/*etiology/physiopathology/therapy
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