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Aortic dissection presenting as acute subtotal left main coronary artery occlusion: a case approach and review of the literature.

Ruisi M, Fallahi A, Lala M, Kanei Y - J Clin Med Res (2015)

Bottom Line: Aortic dissection associated with acute coronary syndrome (ACS) is relatively rare, but if it occurs, it can be diagnostically challenging, and the condition can be fatal.Here we describe a case of aortic dissection presenting as ST-segment elevation myocardial infarction (STEMI) managed via the transradial approach.We describe the current literature on the subject.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiology, Mount Sinai Beth Israel, New York, NY 10003, USA.

ABSTRACT
Aortic dissection is the most common fatal condition of the aorta, yet it is often missed on initial clinical presentation. Aortic dissection associated with acute coronary syndrome (ACS) is relatively rare, but if it occurs, it can be diagnostically challenging, and the condition can be fatal. Here we describe a case of aortic dissection presenting as ST-segment elevation myocardial infarction (STEMI) managed via the transradial approach. We describe the current literature on the subject.

No MeSH data available.


Related in: MedlinePlus

Aortogram revealing severe aortic regurgitation with possible dissection flap.
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Figure 4: Aortogram revealing severe aortic regurgitation with possible dissection flap.

Mentions: After the stent placement, the chest pain improved and the ST segments elevations resolved. However, the patient later continued to have persistent chest pain. On review of the angiogram, a significant amount of aortic insufficiency was noted. An aortogram was performed revealing severe aortic regurgitation with a possible dissection flap (Fig. 4). Urgent trans-esophageal echocardiography was performed in the cath lab confirming aortic dissection of the ascending aorta (Fig. 5, 6). On review of IVUS, dynamic flat was seen outside the left main ostium (Fig. 7). The patient underwent emergent repair of a type A aortic dissection.


Aortic dissection presenting as acute subtotal left main coronary artery occlusion: a case approach and review of the literature.

Ruisi M, Fallahi A, Lala M, Kanei Y - J Clin Med Res (2015)

Aortogram revealing severe aortic regurgitation with possible dissection flap.
© Copyright Policy - open access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4356097&req=5

Figure 4: Aortogram revealing severe aortic regurgitation with possible dissection flap.
Mentions: After the stent placement, the chest pain improved and the ST segments elevations resolved. However, the patient later continued to have persistent chest pain. On review of the angiogram, a significant amount of aortic insufficiency was noted. An aortogram was performed revealing severe aortic regurgitation with a possible dissection flap (Fig. 4). Urgent trans-esophageal echocardiography was performed in the cath lab confirming aortic dissection of the ascending aorta (Fig. 5, 6). On review of IVUS, dynamic flat was seen outside the left main ostium (Fig. 7). The patient underwent emergent repair of a type A aortic dissection.

Bottom Line: Aortic dissection associated with acute coronary syndrome (ACS) is relatively rare, but if it occurs, it can be diagnostically challenging, and the condition can be fatal.Here we describe a case of aortic dissection presenting as ST-segment elevation myocardial infarction (STEMI) managed via the transradial approach.We describe the current literature on the subject.

View Article: PubMed Central - PubMed

Affiliation: Department of Cardiology, Mount Sinai Beth Israel, New York, NY 10003, USA.

ABSTRACT
Aortic dissection is the most common fatal condition of the aorta, yet it is often missed on initial clinical presentation. Aortic dissection associated with acute coronary syndrome (ACS) is relatively rare, but if it occurs, it can be diagnostically challenging, and the condition can be fatal. Here we describe a case of aortic dissection presenting as ST-segment elevation myocardial infarction (STEMI) managed via the transradial approach. We describe the current literature on the subject.

No MeSH data available.


Related in: MedlinePlus