Undetected acute aortic dissection in a patient referred for primary coronary angioplasty: a successful treatment of perioperative bleeding after abciximab administration.
The authors describe a case of an acute aortic dissection in a Japanese woman with long-lasting hypertension, who was referred to our cath lab for primary percutaneous coronary intervention because of an ECG feature of acute inferior myocardial infarction and systemic hypotension. A successful treatment of perioperative bleeding followed a missed diagnosis in the early stages and abciximab administration.
Heart and Great Vessels A. Reale Second Division of Cardiology, Policlinico Umberto I, Sapienza University, Rome, Italy. alessio.arrivi@libero.it
A
A
Arrivi
G
G
Tanzilli
L
L
Tritapepe
G
G
Mazzesi
E
E
Mangieri
D000077284:Abciximab; D000208:Acute Disease; D015906:Angioplasty, Balloon, Coronary; D000911:Antibodies, Monoclonal / Q000009:adverse effects*; D000925:Anticoagulants / Q000009:adverse effects*; D001018:Aortic Diseases / Q000150:complications*; D005260:Female; D006470:Hemorrhage / Q000628:therapy*; D006801:Humans; D007140:Immunoglobulin Fab Fragments / Q000009:adverse effects*; D007431:Intraoperative Complications / Q000628:therapy*; D008875:Middle Aged; D009203:Myocardial Infarction / Q000601:surgery*
D000911:Antibodies, Monoclonal; D000925:Anticoagulants; D007140:Immunoglobulin Fab Fragments; D000077284:Abciximab