Table of Contents Author Guidelines Submit a Manuscript
Case Reports in Cardiology
Volume 2012, Article ID 367542, 3 pages
http://dx.doi.org/10.1155/2012/367542
Case Report

Acute Aortic Dissection Mimicking STEMI in the Catheterization Laboratory: Early Recognition Is Mandatory

1Division of Cardiology, Santa Maria University Hospital, 05100 Terni, Italy
2Department of Cardiovascular, Respiratory, Nephrological, Anesthesiological and Geriatrical Sciences, Sapienza University, 00161 Rome, Italy

Received 16 August 2012; Accepted 23 September 2012

Academic Editors: K. N. Blackett, M. Ferrari, and E. E. Ribeiro

Copyright © 2012 Alessio Arrivi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Coronary malperfusion due to type A aortic dissection is a life-threatening condition where timely recognition and treatment are mandatory. A 77-year-old woman underwent an acute evolving type A aortic dissection mimicking acute myocardial infarction. Two pathophysiologic mechanisms are discussed: either thrombosis migrating from a previously treated giant aneurism of proximal left anterior descending or a local arterial complication due to left main stenting. Recognition of these occurrences in the catheterization laboratory is important to look immediately for surgery.