Abstract

Clinical Image

Aortic dissection complicating carotid dissection and myocardial infarction

Sung-Yuan Hu*, Chun-Cheng Chen and Hung-Wen Tsai

Published: 18 March, 2021 | Volume 5 - Issue 1 | Pages: 003-003

A 58-year-old hypertensive man presented to our insti-tution with acute chest pain and dizziness. Electrocardiogram revealed inferior wall myocardial infarction with suspected right ventricular involvement (Figure 1A). Computed tomographic aortography (CTA) depicted ascending aortic dissection (AAD) with involvement of bilateral carotid, subclavian, and right common iliac arteries (Figure 1B). Replacements of aortic valve and ascending aorta with CABG (Ao-RSVG1-LAD and Ao-RSVG2-RCA) were conducted. 

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References

  1. Alsaad AA, Odunukan OW, Patton JN. Ascending aortic dissection presented as inferior myocardial infarction: a clinical and diagnostic mimicry. BMJ Case Rep.2016; 20: bcr2016217543. PubMed: https://pubmed.ncbi.nlm.nih.gov/27999129/
  2. Chen A, Ren X. Aortic Dissection Manifesting as ST-Segment-Elevation Myocardial Infarction. Circulation. 2015; 131: e503-504. PubMed: https://pubmed.ncbi.nlm.nih.gov/26015467/
  3. Deniz T, Dag E, Tulmac M, Azapoglu B, Alp C. What Lies behind the Ischemic Stroke: Aortic Dissection? Case Rep Emerg Med. 2014; 2014: 468295. PubMed: https://pubmed.ncbi.nlm.nih.gov/25544904/

Figures:

Figure 1

Figure 1

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