Acute Aortic Dissection Mimicking STEMI in the Catheterization Laboratory: Early Recognition Is Mandatory

Coronary malperfusion due to type A aortic dissection is a life-threatening condition where timely recognition and treatment are mandatory. A 77-year-old woman underwent an acute evolving type A aortic dissection mimicking acute myocardial infarction. Two pathophysiologic mechanisms are discussed: e...

Descripción completa

Detalles Bibliográficos
Autores principales: Arrivi, Alessio, Tanzilli, Gaetano, Puddu, Paolo Emilio, Truscelli, Giovanni, Dominici, Marcello, Mangieri, Enrico
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2012
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4008343/
https://www.ncbi.nlm.nih.gov/pubmed/24826248
http://dx.doi.org/10.1155/2012/367542
_version_ 1782314426882326528
author Arrivi, Alessio
Tanzilli, Gaetano
Puddu, Paolo Emilio
Truscelli, Giovanni
Dominici, Marcello
Mangieri, Enrico
author_facet Arrivi, Alessio
Tanzilli, Gaetano
Puddu, Paolo Emilio
Truscelli, Giovanni
Dominici, Marcello
Mangieri, Enrico
author_sort Arrivi, Alessio
collection PubMed
description Coronary malperfusion due to type A aortic dissection is a life-threatening condition where timely recognition and treatment are mandatory. A 77-year-old woman underwent an acute evolving type A aortic dissection mimicking acute myocardial infarction. Two pathophysiologic mechanisms are discussed: either thrombosis migrating from a previously treated giant aneurism of proximal left anterior descending or a local arterial complication due to left main stenting. Recognition of these occurrences in the catheterization laboratory is important to look immediately for surgery.
format Online
Article
Text
id pubmed-4008343
institution National Center for Biotechnology Information
language English
publishDate 2012
publisher Hindawi Publishing Corporation
record_format MEDLINE/PubMed
spelling pubmed-40083432014-05-13 Acute Aortic Dissection Mimicking STEMI in the Catheterization Laboratory: Early Recognition Is Mandatory Arrivi, Alessio Tanzilli, Gaetano Puddu, Paolo Emilio Truscelli, Giovanni Dominici, Marcello Mangieri, Enrico Case Rep Cardiol Case Report Coronary malperfusion due to type A aortic dissection is a life-threatening condition where timely recognition and treatment are mandatory. A 77-year-old woman underwent an acute evolving type A aortic dissection mimicking acute myocardial infarction. Two pathophysiologic mechanisms are discussed: either thrombosis migrating from a previously treated giant aneurism of proximal left anterior descending or a local arterial complication due to left main stenting. Recognition of these occurrences in the catheterization laboratory is important to look immediately for surgery. Hindawi Publishing Corporation 2012 2012-09-27 /pmc/articles/PMC4008343/ /pubmed/24826248 http://dx.doi.org/10.1155/2012/367542 Text en Copyright © 2012 Alessio Arrivi et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Arrivi, Alessio
Tanzilli, Gaetano
Puddu, Paolo Emilio
Truscelli, Giovanni
Dominici, Marcello
Mangieri, Enrico
Acute Aortic Dissection Mimicking STEMI in the Catheterization Laboratory: Early Recognition Is Mandatory
title Acute Aortic Dissection Mimicking STEMI in the Catheterization Laboratory: Early Recognition Is Mandatory
title_full Acute Aortic Dissection Mimicking STEMI in the Catheterization Laboratory: Early Recognition Is Mandatory
title_fullStr Acute Aortic Dissection Mimicking STEMI in the Catheterization Laboratory: Early Recognition Is Mandatory
title_full_unstemmed Acute Aortic Dissection Mimicking STEMI in the Catheterization Laboratory: Early Recognition Is Mandatory
title_short Acute Aortic Dissection Mimicking STEMI in the Catheterization Laboratory: Early Recognition Is Mandatory
title_sort acute aortic dissection mimicking stemi in the catheterization laboratory: early recognition is mandatory
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4008343/
https://www.ncbi.nlm.nih.gov/pubmed/24826248
http://dx.doi.org/10.1155/2012/367542
work_keys_str_mv AT arrivialessio acuteaorticdissectionmimickingstemiinthecatheterizationlaboratoryearlyrecognitionismandatory
AT tanzilligaetano acuteaorticdissectionmimickingstemiinthecatheterizationlaboratoryearlyrecognitionismandatory
AT puddupaoloemilio acuteaorticdissectionmimickingstemiinthecatheterizationlaboratoryearlyrecognitionismandatory
AT truscelligiovanni acuteaorticdissectionmimickingstemiinthecatheterizationlaboratoryearlyrecognitionismandatory
AT dominicimarcello acuteaorticdissectionmimickingstemiinthecatheterizationlaboratoryearlyrecognitionismandatory
AT mangierienrico acuteaorticdissectionmimickingstemiinthecatheterizationlaboratoryearlyrecognitionismandatory

Ejemplares similares