A Case of Acute Myocardial Infarction due to Left Main Trunk Occlusion Complicated With Aortic Dissection as Diagnosed by Intravascular Ultrasound

A 52-year-old man was transferred to our hospital with a sudden onset of severe chest pains. His electrocardiogram revealed ST-segment elevation suggestive of acute myocardial infarction. Emergency coronary angiography showed subtotal occlusion of left main trunk (LMT) with delayed coronary flow. Be...

Descripción completa

Detalles Bibliográficos
Autores principales: Okamoto, Masashi, Amano, Tomonori, Matsuoka, Shunzo, Hirai, Hideki, Masuda, Kazunori, Nakajima, Kanta, Sueyoshi, Atsushi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elmer Press 2012
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5358137/
https://www.ncbi.nlm.nih.gov/pubmed/28348693
http://dx.doi.org/10.4021/cr212w
_version_ 1782516171213373440
author Okamoto, Masashi
Amano, Tomonori
Matsuoka, Shunzo
Hirai, Hideki
Masuda, Kazunori
Nakajima, Kanta
Sueyoshi, Atsushi
author_facet Okamoto, Masashi
Amano, Tomonori
Matsuoka, Shunzo
Hirai, Hideki
Masuda, Kazunori
Nakajima, Kanta
Sueyoshi, Atsushi
author_sort Okamoto, Masashi
collection PubMed
description A 52-year-old man was transferred to our hospital with a sudden onset of severe chest pains. His electrocardiogram revealed ST-segment elevation suggestive of acute myocardial infarction. Emergency coronary angiography showed subtotal occlusion of left main trunk (LMT) with delayed coronary flow. Because intravascular ultrasound revealed a large intimal flap, we diagnosed aortic dissection involving the LMT. After stenting of the LMT, the patient underwent surgical repair of the aortic dissection. Although it is difficult to obtain a correct diagnosis of aortic dissection complicated with myocardial ischemia, we succeeded in diagnosing this rare condition by use of a intravascular ultrasound.
format Online
Article
Text
id pubmed-5358137
institution National Center for Biotechnology Information
language English
publishDate 2012
publisher Elmer Press
record_format MEDLINE/PubMed
spelling pubmed-53581372017-03-27 A Case of Acute Myocardial Infarction due to Left Main Trunk Occlusion Complicated With Aortic Dissection as Diagnosed by Intravascular Ultrasound Okamoto, Masashi Amano, Tomonori Matsuoka, Shunzo Hirai, Hideki Masuda, Kazunori Nakajima, Kanta Sueyoshi, Atsushi Cardiol Res Case Report A 52-year-old man was transferred to our hospital with a sudden onset of severe chest pains. His electrocardiogram revealed ST-segment elevation suggestive of acute myocardial infarction. Emergency coronary angiography showed subtotal occlusion of left main trunk (LMT) with delayed coronary flow. Because intravascular ultrasound revealed a large intimal flap, we diagnosed aortic dissection involving the LMT. After stenting of the LMT, the patient underwent surgical repair of the aortic dissection. Although it is difficult to obtain a correct diagnosis of aortic dissection complicated with myocardial ischemia, we succeeded in diagnosing this rare condition by use of a intravascular ultrasound. Elmer Press 2012-10 2012-09-20 /pmc/articles/PMC5358137/ /pubmed/28348693 http://dx.doi.org/10.4021/cr212w Text en Copyright 2012, Okamoto et al. http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of 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
Okamoto, Masashi
Amano, Tomonori
Matsuoka, Shunzo
Hirai, Hideki
Masuda, Kazunori
Nakajima, Kanta
Sueyoshi, Atsushi
A Case of Acute Myocardial Infarction due to Left Main Trunk Occlusion Complicated With Aortic Dissection as Diagnosed by Intravascular Ultrasound
title A Case of Acute Myocardial Infarction due to Left Main Trunk Occlusion Complicated With Aortic Dissection as Diagnosed by Intravascular Ultrasound
title_full A Case of Acute Myocardial Infarction due to Left Main Trunk Occlusion Complicated With Aortic Dissection as Diagnosed by Intravascular Ultrasound
title_fullStr A Case of Acute Myocardial Infarction due to Left Main Trunk Occlusion Complicated With Aortic Dissection as Diagnosed by Intravascular Ultrasound
title_full_unstemmed A Case of Acute Myocardial Infarction due to Left Main Trunk Occlusion Complicated With Aortic Dissection as Diagnosed by Intravascular Ultrasound
title_short A Case of Acute Myocardial Infarction due to Left Main Trunk Occlusion Complicated With Aortic Dissection as Diagnosed by Intravascular Ultrasound
title_sort case of acute myocardial infarction due to left main trunk occlusion complicated with aortic dissection as diagnosed by intravascular ultrasound
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5358137/
https://www.ncbi.nlm.nih.gov/pubmed/28348693
http://dx.doi.org/10.4021/cr212w
work_keys_str_mv AT okamotomasashi acaseofacutemyocardialinfarctionduetoleftmaintrunkocclusioncomplicatedwithaorticdissectionasdiagnosedbyintravascularultrasound
AT amanotomonori acaseofacutemyocardialinfarctionduetoleftmaintrunkocclusioncomplicatedwithaorticdissectionasdiagnosedbyintravascularultrasound
AT matsuokashunzo acaseofacutemyocardialinfarctionduetoleftmaintrunkocclusioncomplicatedwithaorticdissectionasdiagnosedbyintravascularultrasound
AT hiraihideki acaseofacutemyocardialinfarctionduetoleftmaintrunkocclusioncomplicatedwithaorticdissectionasdiagnosedbyintravascularultrasound
AT masudakazunori acaseofacutemyocardialinfarctionduetoleftmaintrunkocclusioncomplicatedwithaorticdissectionasdiagnosedbyintravascularultrasound
AT nakajimakanta acaseofacutemyocardialinfarctionduetoleftmaintrunkocclusioncomplicatedwithaorticdissectionasdiagnosedbyintravascularultrasound
AT sueyoshiatsushi acaseofacutemyocardialinfarctionduetoleftmaintrunkocclusioncomplicatedwithaorticdissectionasdiagnosedbyintravascularultrasound
AT okamotomasashi caseofacutemyocardialinfarctionduetoleftmaintrunkocclusioncomplicatedwithaorticdissectionasdiagnosedbyintravascularultrasound
AT amanotomonori caseofacutemyocardialinfarctionduetoleftmaintrunkocclusioncomplicatedwithaorticdissectionasdiagnosedbyintravascularultrasound
AT matsuokashunzo caseofacutemyocardialinfarctionduetoleftmaintrunkocclusioncomplicatedwithaorticdissectionasdiagnosedbyintravascularultrasound
AT hiraihideki caseofacutemyocardialinfarctionduetoleftmaintrunkocclusioncomplicatedwithaorticdissectionasdiagnosedbyintravascularultrasound
AT masudakazunori caseofacutemyocardialinfarctionduetoleftmaintrunkocclusioncomplicatedwithaorticdissectionasdiagnosedbyintravascularultrasound
AT nakajimakanta caseofacutemyocardialinfarctionduetoleftmaintrunkocclusioncomplicatedwithaorticdissectionasdiagnosedbyintravascularultrasound
AT sueyoshiatsushi caseofacutemyocardialinfarctionduetoleftmaintrunkocclusioncomplicatedwithaorticdissectionasdiagnosedbyintravascularultrasound

Ejemplares similares