A Case of Aortic Dissection Complicating Right Subclavian Artery Occlusion and Mimicking Inferior Myocardial Infarction

Year 2017, Volume: 8 Issue: 2 , 40 - 42 , 01.04.2017

Ahmet Doksöz Müjgan Tek Öztürk Wesam Salha Murat Taraktaş Hüseyin Soydemir

https://izlik.org/JA85SS23GA

Abstract

Introduction: Acute aortic dissection is the most common catastrophic event affecting the aorta. Aortic dissection can present with a wide range of manifestations and is easily misdiagnosed. Case Report: Here we report a case of aortic dissection that was initially misdiagnosed as inferior wall myocardial infarction although the initial symptoms were related to right subclavian artery occlusion caused by a dissection flap. Aortic dissection was diagnosed after the patient underwent coronary angiography. The patient was managed with immediate surgical repair and was discharged in a stable condition.Conclusion: This case report illustrates the importance of having a high index of suspicion for aortic dissection to avoid a mistaken diagnosis in patients with an electrocardiogram (ECG) suggestive of ST elevation myocardial infarction (STEMI)

Keywords

Aortic dissection , myocardial infarction , subclavian artery occlusion

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