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
em Ko
| WPRIM
| ID: wpr-144652
Biblioteca responsável:
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.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Aorta
/
Cirurgia Geral
/
Dor no Peito
/
Vasos Coronários
/
Diagnóstico
/
Emergências
/
Aterosclerose
/
Oclusão Coronária
/
Máscaras
/
Infarto do Miocárdio
Tipo de estudo:
Diagnostic_studies
Limite:
Humans
Idioma:
Ko
Revista:
Korean Journal of Medicine
Ano de publicação:
2013
Tipo de documento:
Article