Open AccessAcute aortic dissection mimics acute inferoposterior wall myocardial infarction in a Marfan syndrome patient
Author(s) -
Prasit Phowthongkum
Publication year - 2010
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr.08.2009.2155
Subject(s) - aortic dissection , medicine , myocardial infarction , marfan syndrome , cardiology , acute coronary syndrome , chest pain , complication , dissection (medical) , bentall procedure , surgery , aorta
A 30-year old man with acute chest pain was diagnosed with acute inferoposterior wall myocardial infarction following electrocardiography. After a failed coronary angiography, an echocardiogram revealed an aortic intimal flap after which acute aortic dissection was diagnosed. The patient received a successful Bentall operation without immediate complication. Retrospective examination then confirmed the diagnosis of Marfan syndrome. This case demonstrates acute aortic dissection may mimic acute myocardial infarction.