title: A successfully thrombolysed acute inferior myocardial infarction due to type A aortic dissection with lethal consequences: the importance of early cardiac echocardiography.
abstract: Thrombolysis, a standard therapy for ST elevation myocardial infarction (STEMI) in non-PCI-capable hospitals, may be catastrophic for patients with aortic dissection leading to further expansion, rupture and uncontrolled bleeding. Stanford type A aortic dissection, rarely may mimic myocardial infarction. We report a case of a patient with an inferior STEMI thrombolysed with tenecteplase and followed by clinical and electrocardiographic evidence of successful reperfusion, which was found later to be a lethal acute aortic dissection. Prognostic implications of early diagnosis applying transthoracic echocardiography (TTE) are described.
authors.affiliation: Department of Cardiology, Patras University School of Medicine, Patras, Greece.
authors.forename: Grigorios
authors.initials: G
authors.lastname: Tsigkas
authors.forename: Georgios
authors.initials: G
authors.lastname: Kasimis
authors.forename: Konstantinos
authors.initials: K
authors.lastname: Theodoropoulos
authors.forename: Konstantinos
authors.initials: K
authors.lastname: Chouchoulis
authors.forename: Nikolaos G
authors.initials: NG
authors.lastname: Baikoussis
authors.forename: Efstratios
authors.initials: E
authors.lastname: Apostolakis
authors.forename: Eleni
authors.initials: E
authors.lastname: Bousoula
authors.forename: Athanasios
authors.initials: A
authors.lastname: Moulias
authors.forename: Dimitrios
authors.initials: D
authors.lastname: Alexopoulos
mesh_terms: D000784:Aortic Dissection / Q000150:complications*; D001014:Aortic Aneurysm / Q000150:complications*; D004452:Echocardiography; D005260:Female; D005343:Fibrinolytic Agents / Q000627:therapeutic use; D006801:Humans; D056989:Inferior Wall Myocardial Infarction / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000209:etiology; D008875:Middle Aged; D011379:Prognosis; D000077785:Tenecteplase; D015912:Thrombolytic Therapy; D010959:Tissue Plasminogen Activator / Q000627:therapeutic use
chemical_list: D005343:Fibrinolytic Agents; D010959:Tissue Plasminogen Activator; D000077785:Tenecteplase