Acute Stanford Type A Aortic Dissection Mimicking Acute Myocardial Infarction: A Hidden Catastrophe Which Should Prompt Greater Vigilance

作者：Tang, Liang; Hu, Xin-Qun; Zhou, Sheng-Hua^*

来源：Acta Cardiologica Sinica, 2014, 30(5): 493-496.

• Acute myocardial infarction
• Aortic dissection
• Coronary angiography

Stanford type A aortic dissection involving the coronary artery ostium and leading to a concomitant acute myocardial infarction (AMI) is an infrequent but life-threatening condition, necessitating a prompt diagnosis and appropriate treatment. Unfortunately, the diagnosis of this entity can be extremely challenging and misdiagnosis is sometimes unavoidable because it usually mimics a common AMI. Herein, we describe the case of a 56-year-old man who presented with severe retrosternal chest pain and dynamic ECG change which was initially misdiagnosed solely as an AMI. However, the patient was finally diagnosed to have a type A aortic dissection complicated by coronary artery involvement. Following emergent surgery treatment, the patient made a good recovery.

• 出版日期2014-9
• 单位中南大学