Key result
A 63-year-old man with acute coronary syndrome and a thoracic aneurysm developed complete atrioventricular block and subsequent ST-elevation myocardial infarction during emergent thoracic endovascular aortic repair.
Why the study?
Acute coronary syndrome and acute aortic syndrome are both life-threatening emergencies, presenting challenges in management when both conditions coexist.
Case Report (n=1)
In patients presenting with concurrent acute coronary syndrome and thoracic aortic aneurysm, prioritizing coronary angiography and intervention before TEVAR in a hybrid operating room may prevent severe complications like complete AV block and myocardial infarction.
Acute coronary syndrome (ACS) and acute aortic syndrome (AAS) are both life-threatening emergencies. We report a case of ACS with thoracic aneurysm. Thoracic endovascular aortic repair (TEVAR) was arranged. However, perioperative complete atrioventricular block occurred and soon progressed to ST-elevation myocardial infarction. In the case of chest discomfort with elevated troponin I and thoracic aneurysm, it is of tremendous importance to cope with both ACS and the possible AAS. In the era of hybrid operation room, coronary catheterization and intervention first followed by TEVAR may provide timely and more comprehensive treatment.
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Chiang et al. (2019) conducted a case report in Acute coronary syndrome and thoracic aneurysm (n=1). Thoracic endovascular aortic repair (TEVAR) was evaluated on Complete atrioventricular block and ST-elevation myocardial infarction. A 63-year-old man with acute coronary syndrome and a thoracic aneurysm developed complete atrioventricular block and subsequent ST-elevation myocardial infarction during emergent thoracic endovascular aortic repair.
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