Akut Miyokard İnfarktüsünü Taklit Eden Bir Tanı: Aort Diseksiyonu Olgusu

Abstract

Aort diseksiyonu (AD), ani gelişen ve yüksek mortaliteye sahip kritik bir kardiyovasküler acildir. Klinik bulguları değişken olduğundan tanı koymak çoğu zaman zordur ve akut miyokard infarktüsü (MI) gibi diğer hayatı tehdit eden durumlarla karışabilmektedir. Bu olgu sunumunda, göğüs ve sırt ağrısı ile başvuran 55 yaşındaki kadın hastada EKG’nin akut inferior MI ile uyumlu olması üzerine acil koroner anjiyografiye alınan hastada işlem sırasında diseksiyon flebi saptanması sonrasında, AD tanısı şüphesi ile çekilen BT anjiyografide AD tanısı konulan bir olgu paylaşılmıştır.

Keywords

• Akut miyokard infarktüsü
• Aort diseksiyonu
• BT anjiyografi
• Göğüs ağrısı
• Koroner Arter Diseksiyonu
• DeBakey Tip I
• Acil Vasküler Cerrahi

Supporting Institution

Destekleyen Kurum yada kuruluş bulunmamaktadır.

A Case of Aortic Dissection Mimicking Acute Myokardial Infarction

Abstract

Aortic dissection (AD) is a critical, high-mortality cardiovascular emergency with an abrupt onset. The diagnosis of this condition is often challenging due to the variability of its clinical findings, and it can be confused with other potentially life-threatening conditions, such as acute myocardial infarction (MI). This case report details the presentation of a 55-year-old female patient who initially presented with chest and back pain. After undergoing an electrocardiogram (ECG) that was indicative of acute inferior myocardial infarction (MI), the patient was promptly referred for coronary angiography. During the procedure, the detection of a dissection flap raised suspicion for AD, which was subsequently confirmed via computed tomography angiography (CTA).

Keywords

• Aortic dissection
• Acute myocardial infarction
• Coronary artery dissection
• Chest pain
• CT angiography
• DeBakey type I
• Emergency vascular surgery

Supporting Institution

Destekleyen Kurum Yada kuruluş bulunmamaktadır.

References

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