Acute ST-segment elevation myocardial infarction combined with ruptured abdominal aortic aneurysm:a case report
10.3969/j.issn.1004-8812.2025.07.007
- VernacularTitle:急性ST段抬高型心肌梗死合并腹主动脉瘤破裂介入治疗1例
- Author:
Shun-song CHEN
1
;
Jie BAI
1
;
Meng-qi YE
1
;
Bang-guo YANG
1
Author Information
1. 云南省阜外心血管病医院 昆明医科大学附属心血管病医院心内科,云南 昆明 650033
- Publication Type:Journal Article
- Keywords:
Acute ST-segment elevation myocardial infarction;
Ruptured abdominal aortic aneurysm;
Interventional therapy
- From:
Chinese Journal of Interventional Cardiology
2025;33(7):408-411
- CountryChina
- Language:Chinese
-
Abstract:
Acute ST-segment elevation myocardial infarction(STEMI)and ruptured abdominal aortic aneurysm(AAA)are both critical conditions that pose severe threats to human life and health.When these two conditions coexist,the mortality rate is extremely high.This case report presents a middle-aged male patient who was admitted to the emergency department due to syncope.An electrocardiogram indicated STEMI,and a full aortic angiogram confirmed a ruptured AAA.Through collaborative efforts between the cardiology and vascular surgery departments,a combined interventional procedure was performed:first,an endovascular stent graft was placed for the AAA,followed by coronary stent implantation.The procedure was completed successfully,and the patient was transferred to the intensive care unit postoperatively.However,the patient's condition deteriorated the following day,resulting in a poor prognosis.This article aims to discuss the therapeutic dilemmas and treatment strategy selection when these two conditions coexist,as well as to explore the potential reasons for the poor prognosis in this case.To some extent,it provides a reference for clinical decision-making in such patients and offers insights into how to reduce mortality in this high-risk population.
