Key result
Emergent valve-sparing repair yields good recovery in type A aortic dissection presenting with NSTEMI and stroke.
Why the study?
Acute myocardial infarction and concomitant stroke as manifestations of type A aortic dissection are rare and not well documented in the literature.
Design
Case report
Follow-up
Three years
Authors
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Warrants high suspicion for type A dissection in NSTEMI with stroke; leaves open generalizability of valve-preserving repair from this single case.
Case Report (n=1)
Type A aortic dissection can rarely present with concomitant acute myocardial infarction and stroke, requiring high clinical suspicion and emergent surgical repair.
Yuan et al. (2018) conducted a case report in Type A Aortic Dissection (n=1). Emergent surgical repair with preservation of the aortic valve was evaluated on Recovery of heart and cerebral function. Emergent surgical repair with preservation of the aortic valve led to good recovery in a patient with type A aortic dissection presenting with NSTEMI and stroke.
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