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This report aims to analyze diagnostic dilemmas in acute type A aortic dissection when presented with acute myocardial infarction.

November 14, 2025MedicineOpen Access

Diagnostic dilemmas in acute type A aortic dissection with acute myocardial infarction: A fatal misdiagnosis case and improvement strategies

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Case analysis reveals misdiagnosis of aortic dissection as myocardial infarction, highlighting treatment risks in patients.

This report aims to analyze diagnostic dilemmas in acute type A aortic dissection when presented with acute myocardial infarction.
Case analysis of a patient with Stanford TA-AAD and acute anterior myocardial infarction.
Diagnostic imaging utilized included electrocardiogram and bedside ultrasound.
Interventions involved percutaneous coronary intervention and major vascular surgery.
Patient diagnosed with acute anterior myocardial infarction based on clinical presentation and tests.
Elevated myocardial enzymes indicated significant cardiac injury.
Despite surgical intervention, the patient ultimately died, underscoring misdiagnosis risks.

Zhou et al. (2025) studied this question.

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