Peripartum acute anterior ST segment elevation myocardial infarction: an uncommon presentation of acute aortic dissection.
نویسندگان
چکیده
INTRODUCTION Atherosclerotic coronary artery thrombosis is the most common cause of acute myocardial infarction. CLINICAL PICTURE A 30-year-old lady presented with acute peripartum massive anterior ST segment myocardial infarction and cardiogenic shock. This was due to acute Stanford type A aortic dissection with the intimal flap occluding the left coronary ostium. The initial diagnosis was not apparent. Echocardiography confirmed the diagnosis. TREATMENT AND OUTCOME She underwent emergency surgical repair (Bentall procedure). Pathology confirmed underlying idiopathic cystic medial degeneration. CONCLUSION A high index of clinical suspicion is required in acute myocardial infarction presenting without traditional cardiovascular risk factors.
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ورودعنوان ژورنال:
- Annals of the Academy of Medicine, Singapore
دوره 36 10 شماره
صفحات -
تاریخ انتشار 2007