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
Dans Ko
| WPRIM
| ID: wpr-144652
Responsable en Bibliothèque :
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.
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Aorte
/
Chirurgie générale
/
Douleur thoracique
/
Vaisseaux coronaires
/
Diagnostic
/
Urgences
/
Athérosclérose
/
Occlusion coronarienne
/
Masques
/
Infarctus du myocarde
Type d'étude:
Diagnostic_studies
Limites du sujet:
Humans
langue:
Ko
Texte intégral:
Korean Journal of Medicine
Année:
2013
Type:
Article