Acute Aortic Dissection Mimicking STEMI in the Catheterization Laboratory: Early Recognition Is Mandatory. (10th October 2012)

• Record Type: Journal Article
• Authors: Arrivi, Alessio; Tanzilli, Gaetano; Puddu, Paolo Emilio; Truscelli, Giovanni; Dominici, Marcello; Mangieri, Enrico
• Other Names: Blackett K. N. Academic Editor.; Ferrari M. Academic Editor.; Ribeiro E. E. Academic Editor.
• Is Part Of: Case reports in cardiology. Volume 2012(2012)
• Publication Date: 2012-10-10
• Subjects: Cardiology -- Periodicals; 616.12005
• DOI: 10.1155/2012/367542
• Languages: English
• ISSNs: 2090-6404

Abstract

Abstract : Coronary malperfusion due to type A aortic dissection is a life-threatening condition where timely recognition and treatment are mandatory. A 77-year-old woman underwent an acute evolving type A aortic dissection mimicking acute myocardial infarction. Two pathophysiologic mechanisms are discussed: either thrombosis migrating from a previously treated giant aneurism of proximal left anterior descending or a local arterial complication due to left main stenting. Recognition of these occurrences in the catheterization laboratory is important to look immediately for surgery.