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.
Acute Aortic Dissection Mimicking STEMI in the Catheterization Laboratory: Early Recognition Is Mandatory / Arrivi, Alessio; Tanzilli, Gaetano; Puddu, Paolo Emilio; Truscelli, Giovanni; Dominici, Marcello; Mangieri, Enrico. - In: CASE REPORTS IN CARDIOLOGY. - ISSN 2090-6404. - STAMPA. - 2012:367542(2012), pp. 1-3. [10.1155/2012/367542]
Acute Aortic Dissection Mimicking STEMI in the Catheterization Laboratory: Early Recognition Is Mandatory
ARRIVI, ALESSIO;TANZILLI, Gaetano;PUDDU, Paolo Emilio;TRUSCELLI, GIOVANNI;MANGIERI, Enrico
2012
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.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
