Acute Aortic Dissection Mimicking STEMI in the Catheterization Laboratory: Early Recognition Is Mandatory | Zendy

Alessio Arrivi | Zendy; Gaetano Tanzilli | Zendy; Paolo Emilio Puddu | Zendy; Giovanni Truscelli | Zendy; Marcello Dominici | Zendy; Enrico Mangieri | Zendy

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Acute Aortic Dissection Mimicking STEMI in the Catheterization Laboratory: Early Recognition Is Mandatory

Author(s) -

Alessio Arrivi,

Gaetano Tanzilli,

Paolo Emilio Puddu,

Giovanni Truscelli,

Marcello Dominici,

Enrico Mangieri

Publication year - 2012

Publication title -

case reports in cardiology

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.106

H-Index - 5

eISSN - 2090-6412

pISSN - 2090-6404

DOI - 10.1155/2012/367542

Subject(s) - medicine , aortic dissection , cardiology , myocardial infarction , thrombosis , complication , dissection (medical) , cardiac catheterization , surgery , aorta

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.

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