title: Acute myocardial infarction--an unusual presentation of non-specific aortoarteritis.
abstract: A 42 year old man presented with classical presentation of Acute ST elevation MI of 2 hours duration. His CAG revealed a spared LMCA with a totally occluded LAD in proximal segment, for which he underwent a successful PAMI with DES to LAD. 2 days later he developed high grade fever, elevated inflammatory markers (ESR/CRP) with a dull aching pain in root of neck. On evaluation of brachiocephalic vessels, CT Aortogram suggested a diagnosis of acute onset Non-Specific Aortoarteritis. Nonspecific Aortoarteritis in young males is an uncommon presentation, though associated coronary artery involvement is known, but its presentation as an Acute MI is a rare phenomenon.
authors: Ajit
authors: A
authors: Desai
authors: Rahul
authors: R
authors: Chhabria
authors: Nihar
authors: N
authors: Mehta
authors: S C
authors: SC
authors: Munshi
mesh_terms: D000208:Acute Disease; D000328:Adult; D056988:Anterior Wall Myocardial Infarction / Q000175:diagnosis* / Q000628:therapy; D001025:Aortitis / Q000175:diagnosis*; D001027:Aortography; D001167:Arteritis / Q000175:diagnosis*; D017023:Coronary Angiography; D003937:Diagnosis, Differential; D054855:Drug-Eluting Stents; D006801:Humans; D007194:India; D008297:Male; D014057:Tomography, X-Ray Computed