Acute myocardial infarction caused by acute ascending aortic dissection

Li Chin Sung, Ching H. Kuo, Po Yuan Hu, Charles Jia Yin Hou, Cheng H. Tsai

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Acute myocardial infarction (AMI) secondary to acute ascending aortic dissection is a rare condition. The clinical presentations are similar but treatment strategies are different between AMI due to thrombotic occlusion of coronary arteries and that secondary to aortic dissection. In the latter, emergency surgery is the first choice and thrombolytic therapy is absolutely contraindicated. We report a 44-year-old man, who suddenly developed acute anterior chest pain. The diagnosis at emergency room was inferior wall AMI and the patient was treated with thrombolysis followed by coronary intervention. However, aortic dissection was suspected during cardiac catheterization and then comfirmed by echocardiography. The patient underwent emergent cardiac surgery to repair the aortic wall and bypass the proximal portion of right coronary artery (RCA). The follow-up coronary angiogram 3 months later showed patent RCA. From this case, we learn that in patients with an AMI, the possibility of aortic dissection should be kept in mind. If there is any suspicion, echocardiography can serve as a safe and quick tool to detect the possibility.

Original languageEnglish
Pages (from-to)105-110
Number of pages6
JournalActa Cardiologica Sinica
Volume21
Issue number2
Publication statusPublished - Jun 2005
Externally publishedYes

Keywords

  • Acute aortic dissection
  • Acute myocardial infarction
  • Echocardiography

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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  • Cite this

    Sung, L. C., Kuo, C. H., Hu, P. Y., Hou, C. J. Y., & Tsai, C. H. (2005). Acute myocardial infarction caused by acute ascending aortic dissection. Acta Cardiologica Sinica, 21(2), 105-110.