We have located links that may give you full text access.
ENGLISH ABSTRACT
JOURNAL ARTICLE
[Acute myocardial infarction due to an acute aortic dissection].
Revue Médicale de Bruxelles 2011 May
Myocardial ischemia secondary to dissection of the ascending aorta remains a relatively rare complication. A 76-year old man with no prior history developed sudden chest pain. The electrocardiogram showed a ST-segment elevation in leads II and III suggesting an inferior wall acute myocardial infarction. Upon arrival, he received anticoagulation and antiplatelet aggregation intravenously and orally respectively. Coronary angiography showed an anomalous origin of the right coronary and extrinsic stenosis by a false lumen. Computed tomography confirmed the diagnosis of type A aortic dissection with an extension to the right coronary. Emergency ascending aorta replacement with Dacron graft and a right coronary artery graft was perfomed. This case illustrates how myocardial infarction can mask an aortic dissection. The initial treatment of a myocardial infarction with anticoagulation and/or oral antiplatelet aggregation should not be modified, even if it increases postoperative bleeding when emergent cardiac surgery is necessary.
Full text links
Related Resources
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app
All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.
By using this service, you agree to our terms of use and privacy policy.
Your Privacy Choices
You can now claim free CME credits for this literature searchClaim now
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app