Key result
Type A aortic dissection involving the right coronary artery orifice can present with anterior ST elevation due to functional obstruction of the left main coronary artery by an intimal flap.
Population
1 patient with acute type A aortic dissection presenting with anterior ST elevation
Design
Case_report
Authors
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May prompt consideration of aortic dissection in atypical STEMI; leaves open true incidence and optimal diagnostics.
Acute type A aortic dissection can rarely present with anterior ST elevation, likely due to functional obstruction of the left main coronary artery by an intimal flap.
Hsu et al. (2011) studied this question. Type A aortic dissection involving the right coronary artery orifice can present with anterior ST elevation due to functional obstruction of the left main coronary artery by an intimal flap.
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