Atypical Coronary Occlusion in a Patient with ST-Elevation Myocardial Infarction Caused by a Masked Aortic Dissection / 대한내과학회지
Korean Journal of Medicine
; : 516-520, 2013.
Article
in Ko
| WPRIM
| ID: wpr-144665
Responsible library:
WPRO
ABSTRACT
ST-elevation myocardial infarction (STEMI) caused by an acute aortic dissection is relatively rare. A diagnosis of dissection can be missed and the situation can become complicated. We report a patient who presented with acute aortic dissection responsible for STEMI related to a dissecting flap into the right coronary artery. This case emphasizes the need for careful assessment of the aorta in cases of atypical coronary occlusion in patients with STEMI without evidence of atherosclerosis in non-culprit coronary segments. The patient was discharged 7 days after primary percutaneous intervention for STEMI. However, she revisited the emergency department for recurrent chest pain and aortic dissection and was diagnosed and managed successfully with surgery.
Key words
Full text:
1
Database:
WPRIM
Main subject:
Aorta
/
General Surgery
/
Chest Pain
/
Coronary Vessels
/
Diagnosis
/
Emergencies
/
Atherosclerosis
/
Coronary Occlusion
/
Masks
/
Myocardial Infarction
Type of study:
Diagnostic_studies
Limits:
Humans
Language:
Ko
Journal:
Korean Journal of Medicine
Year:
2013
Document type:
Article