Anterior myocardial infarction, acute aortic dissection, and anomalous coronary artery.
Acute dissection of the ascending aorta has, on rare occasions, been accompanied by myocardial infarction due to the compression of the ostium of a coronary artery. Rarer still is the presence of an aortic dissection, myocardial infarction, and an anomalous coronary artery. A case is described of a patient who survived an acute aortic dissection complicated by anterior myocardial infarction due in part to the presence of an anomalous circumflex artery. The anatomy, diagnosis, and consequences of aortic dissection are discussed.
Pinney
Sean P
SP
Division of Cardiology, Department of Medicine, Columbia University College of Physicians and Surgeons, Milstein Hospital Bldg. 5-435, 177 Fort Washington Ave., New York, NY 10032, USA. sp461@columbia.edu
Wasserman
Hal S
HS
D001011:Aorta / Q000293:injuries*; D001018:Aortic Diseases / Q000150:complications* / Q000175:diagnosis; D001158:Arteries / Q000002:abnormalities*; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000150:complications* / Q000175:diagnosis; D004452:Echocardiography; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000209:etiology*