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

Figure 1

Angiographic projections in (A) (23°RAO and 21°CAU): giant, calcified, aneurism of proximal LAD, and coronary subocclusion immediately proximal to the sac; (B) (21°RAO and 7°CAU): PCI with stent placement in LAD; (C) (21°RAO and 15°CAU): angiographic result after stenting of LAD; (D) (3°LAO and 1°CRA): subocclusion of the left main coronary artery (LMCA) with patency of the bare metal stent previously implanted in the proximal tract of the LAD and closure of the coronary aneurism; (E) (17°LAO and 4°CAU): angiographic result after primary PCI. LAO: left anterior oblique; RAO: right anterior oblique; CRA: cranial; CAU: caudal.