Key result
A 50-year-old man presenting with acute myocardial infarction secondary to a Stanford type A aortic dissection involving the left main coronary artery underwent emergency surgery but died of multiple organ dysfunction syndromes.
Case Report (n=1)
No
Aortic dissection should be considered in the differential diagnosis of STEMI, especially when catheter engagement is difficult or the patient presents with dim consciousness.
Consider aortic dissection in atypical STEMI; this case report leaves open prospective validation of diagnostic strategies.
A 50-year-old man with a history of hypertension awakened with acute retrosternal chest pain accompanied by dim consciousness.He was transferred to cardiac catheterization laboratory for emergent percutaneous coronary intervention (PCI) but diagnostic coronary angiography was difficult and unsuccessful.Therefore, he was immediately conducted the thoracoabdominal computed tomography angiography (CTA).The CTA showed aortic dissection (Stanford type A), involving the left main coronary artery (LMCA) and left anterior descending (LAD).Emergency surgery was executed.Unfortunately, this patient eventually died of multiple organ dysfunction syndromes.
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Wang et al. (2016) conducted a case report in Acute Myocardial Infarction secondary to Aortic Dissection (n=1). Emergency surgery was evaluated on Clinical outcome (mortality). A 50-year-old man presenting with acute myocardial infarction secondary to a Stanford type A aortic dissection involving the left main coronary artery underwent emergency surgery but died of multiple organ dysfunction syndromes.