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Acute inferior wall myocardial infarction induced by aortic dissection in a young adult with Marfan syndrome: A case report
BACKGROUND: Aortic dissection (AD) is an emergent and life-threatening disorder, and its in-hospital mortality was reported to be as high as 24.4%-27.4%. AD can mimic other more common disorders, especially acute myocardial infarction (AMI), in terms of both symptoms and electrocardiogram changes. R...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Baishideng Publishing Group Inc
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7852626/ https://www.ncbi.nlm.nih.gov/pubmed/33585646 http://dx.doi.org/10.12998/wjcc.v9.i4.970 |
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author | Zhang, Yun-Xiao Yang, Hang Wang, Gui-Song |
author_facet | Zhang, Yun-Xiao Yang, Hang Wang, Gui-Song |
author_sort | Zhang, Yun-Xiao |
collection | PubMed |
description | BACKGROUND: Aortic dissection (AD) is an emergent and life-threatening disorder, and its in-hospital mortality was reported to be as high as 24.4%-27.4%. AD can mimic other more common disorders, especially acute myocardial infarction (AMI), in terms of both symptoms and electrocardiogram changes. Reperfusion for patients with AD may result in catastrophic outcomes. Increased awareness of AD can be helpful for early diagnosis, especially among younger patients. CASE SUMMARY: We report a 28-year-old man with acute left side chest pain without cardiovascular risk factors. He was diagnosed with acute inferior ST-segment elevation myocardial infarction (STEMI), which, based on illness history, physical examination, and intraoperative findings, was eventually determined to be type A AD caused by Marfan syndrome. Emergent coronary angiography revealed the anomalous origin of the right coronary artery as well as eccentric stenosis of the proximal segment. Subsequently, computed tomography angiography (CTA) showed intramural thrombosis of the ascending aorta. Finally, the patient was transferred to the cardiovascular surgery department for a Bentall operation. He was discharged 13 d after the operation, and aortic CTA proved a full recovery at the 2-year follow-up. CONCLUSION: It is essential and challenging to differentiate AD from AMI. Type A AD should be the primary consideration in younger STEMI patients without cardiovascular risk factors but with outstanding features of Marfan syndrome. |
format | Online Article Text |
id | pubmed-7852626 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Baishideng Publishing Group Inc |
record_format | MEDLINE/PubMed |
spelling | pubmed-78526262021-02-12 Acute inferior wall myocardial infarction induced by aortic dissection in a young adult with Marfan syndrome: A case report Zhang, Yun-Xiao Yang, Hang Wang, Gui-Song World J Clin Cases Case Report BACKGROUND: Aortic dissection (AD) is an emergent and life-threatening disorder, and its in-hospital mortality was reported to be as high as 24.4%-27.4%. AD can mimic other more common disorders, especially acute myocardial infarction (AMI), in terms of both symptoms and electrocardiogram changes. Reperfusion for patients with AD may result in catastrophic outcomes. Increased awareness of AD can be helpful for early diagnosis, especially among younger patients. CASE SUMMARY: We report a 28-year-old man with acute left side chest pain without cardiovascular risk factors. He was diagnosed with acute inferior ST-segment elevation myocardial infarction (STEMI), which, based on illness history, physical examination, and intraoperative findings, was eventually determined to be type A AD caused by Marfan syndrome. Emergent coronary angiography revealed the anomalous origin of the right coronary artery as well as eccentric stenosis of the proximal segment. Subsequently, computed tomography angiography (CTA) showed intramural thrombosis of the ascending aorta. Finally, the patient was transferred to the cardiovascular surgery department for a Bentall operation. He was discharged 13 d after the operation, and aortic CTA proved a full recovery at the 2-year follow-up. CONCLUSION: It is essential and challenging to differentiate AD from AMI. Type A AD should be the primary consideration in younger STEMI patients without cardiovascular risk factors but with outstanding features of Marfan syndrome. Baishideng Publishing Group Inc 2021-02-06 2021-02-06 /pmc/articles/PMC7852626/ /pubmed/33585646 http://dx.doi.org/10.12998/wjcc.v9.i4.970 Text en ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0/ This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. |
spellingShingle | Case Report Zhang, Yun-Xiao Yang, Hang Wang, Gui-Song Acute inferior wall myocardial infarction induced by aortic dissection in a young adult with Marfan syndrome: A case report |
title | Acute inferior wall myocardial infarction induced by aortic dissection in a young adult with Marfan syndrome: A case report |
title_full | Acute inferior wall myocardial infarction induced by aortic dissection in a young adult with Marfan syndrome: A case report |
title_fullStr | Acute inferior wall myocardial infarction induced by aortic dissection in a young adult with Marfan syndrome: A case report |
title_full_unstemmed | Acute inferior wall myocardial infarction induced by aortic dissection in a young adult with Marfan syndrome: A case report |
title_short | Acute inferior wall myocardial infarction induced by aortic dissection in a young adult with Marfan syndrome: A case report |
title_sort | acute inferior wall myocardial infarction induced by aortic dissection in a young adult with marfan syndrome: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7852626/ https://www.ncbi.nlm.nih.gov/pubmed/33585646 http://dx.doi.org/10.12998/wjcc.v9.i4.970 |
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