Acute Aortic Dissection Mimicking STEMI in the Catheterization Laboratory: Early Recognition Is Mandatory

Coronary malperfusion due to type A aortic dissection is a life-threatening condition where timely recognition and treatment are mandatory. A 77-year-old woman underwent an acute evolving type A aortic dissection mimicking acute myocardial infarction. Two pathophysiologic mechanisms are discussed: e...

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Main Authors: Alessio Arrivi, Gaetano Tanzilli, Paolo Emilio Puddu, Giovanni Truscelli, Marcello Dominici, Enrico Mangieri
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2012/367542
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author Alessio Arrivi
Gaetano Tanzilli
Paolo Emilio Puddu
Giovanni Truscelli
Marcello Dominici
Enrico Mangieri
author_facet Alessio Arrivi
Gaetano Tanzilli
Paolo Emilio Puddu
Giovanni Truscelli
Marcello Dominici
Enrico Mangieri
author_sort Alessio Arrivi
collection DOAJ
description Coronary malperfusion due to type A aortic dissection is a life-threatening condition where timely recognition and treatment are mandatory. A 77-year-old woman underwent an acute evolving type A aortic dissection mimicking acute myocardial infarction. Two pathophysiologic mechanisms are discussed: either thrombosis migrating from a previously treated giant aneurism of proximal left anterior descending or a local arterial complication due to left main stenting. Recognition of these occurrences in the catheterization laboratory is important to look immediately for surgery.
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institution Kabale University
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publishDate 2012-01-01
publisher Wiley
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series Case Reports in Cardiology
spelling doaj-art-004692491c5d479f973336450bb83f7c2025-02-03T05:53:33ZengWileyCase Reports in Cardiology2090-64042090-64122012-01-01201210.1155/2012/367542367542Acute Aortic Dissection Mimicking STEMI in the Catheterization Laboratory: Early Recognition Is MandatoryAlessio Arrivi0Gaetano Tanzilli1Paolo Emilio Puddu2Giovanni Truscelli3Marcello Dominici4Enrico Mangieri5Division of Cardiology, Santa Maria University Hospital, 05100 Terni, ItalyDepartment of Cardiovascular, Respiratory, Nephrological, Anesthesiological and Geriatrical Sciences, Sapienza University, 00161 Rome, ItalyDepartment of Cardiovascular, Respiratory, Nephrological, Anesthesiological and Geriatrical Sciences, Sapienza University, 00161 Rome, ItalyDepartment of Cardiovascular, Respiratory, Nephrological, Anesthesiological and Geriatrical Sciences, Sapienza University, 00161 Rome, ItalyDivision of Cardiology, Santa Maria University Hospital, 05100 Terni, ItalyDepartment of Cardiovascular, Respiratory, Nephrological, Anesthesiological and Geriatrical Sciences, Sapienza University, 00161 Rome, ItalyCoronary malperfusion due to type A aortic dissection is a life-threatening condition where timely recognition and treatment are mandatory. A 77-year-old woman underwent an acute evolving type A aortic dissection mimicking acute myocardial infarction. Two pathophysiologic mechanisms are discussed: either thrombosis migrating from a previously treated giant aneurism of proximal left anterior descending or a local arterial complication due to left main stenting. Recognition of these occurrences in the catheterization laboratory is important to look immediately for surgery.http://dx.doi.org/10.1155/2012/367542
spellingShingle Alessio Arrivi
Gaetano Tanzilli
Paolo Emilio Puddu
Giovanni Truscelli
Marcello Dominici
Enrico Mangieri
Acute Aortic Dissection Mimicking STEMI in the Catheterization Laboratory: Early Recognition Is Mandatory
Case Reports in Cardiology
title Acute Aortic Dissection Mimicking STEMI in the Catheterization Laboratory: Early Recognition Is Mandatory
title_full Acute Aortic Dissection Mimicking STEMI in the Catheterization Laboratory: Early Recognition Is Mandatory
title_fullStr Acute Aortic Dissection Mimicking STEMI in the Catheterization Laboratory: Early Recognition Is Mandatory
title_full_unstemmed Acute Aortic Dissection Mimicking STEMI in the Catheterization Laboratory: Early Recognition Is Mandatory
title_short Acute Aortic Dissection Mimicking STEMI in the Catheterization Laboratory: Early Recognition Is Mandatory
title_sort acute aortic dissection mimicking stemi in the catheterization laboratory early recognition is mandatory
url http://dx.doi.org/10.1155/2012/367542
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