Acute Aortic Dissection Mimicking STEMI in the Catheterization Laboratory: Early Recognition Is Mandatory.
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.
Division of Cardiology, Santa Maria University Hospital, 05100 Terni, Italy.
Alessio
A
Arrivi
Department of Cardiovascular, Respiratory, Nephrological, Anesthesiological and Geriatrical Sciences, Sapienza University, 00161 Rome, Italy.
Gaetano
G
Tanzilli
Department of Cardiovascular, Respiratory, Nephrological, Anesthesiological and Geriatrical Sciences, Sapienza University, 00161 Rome, Italy.
Paolo Emilio
PE
Puddu
Department of Cardiovascular, Respiratory, Nephrological, Anesthesiological and Geriatrical Sciences, Sapienza University, 00161 Rome, Italy.
Giovanni
G
Truscelli
Division of Cardiology, Santa Maria University Hospital, 05100 Terni, Italy.
Marcello
M
Dominici
Department of Cardiovascular, Respiratory, Nephrological, Anesthesiological and Geriatrical Sciences, Sapienza University, 00161 Rome, Italy.
Enrico
E
Mangieri