Paraparesis after Primary Percutaneous Coronary Intervention for ST-segment Elevation Myocardial Infarction: Combined Uncommon Complications of Acute Aortic Syndrome in a Patient.
Acute aortic syndrome complicated by both ST-segment elevation myocardial infarction (STEMI) and spinal ischemia is exceedingly rare. We herein report the case of a 66-year-old man who presented with paraparesis after primary percutaneous coronary intervention for STEMI. He was found to have an intramural hematoma of the ascending aorta and a severe dissection in the descending aorta, which led to both STEMI and paraparesis.
Department of Internal Medicine, Gyeongsang National University Hospital, Korea.
Jong-Hwa
JH
Ahn
Jeong Rang
JR
Park
Jin-Sin
JS
Koh
Young Min
YM
Choi
Jung Woo
JW
Choi
Tae Won
TW
Lee
Young Ran
YR
Kang
Sung Eun
SE
Park
Jin-Yong
JY
Hwang
D000208:Acute Disease; D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects* / Q000379:methods; D001011:Aorta / Q000473:pathology; D001013:Aorta, Thoracic / Q000473:pathology; D001015:Aortic Arch Syndromes / Q000150:complications* / Q000503:physiopathology / Q000628:therapy; D005500:Follow-Up Studies; D006329:Heart Conduction System / Q000503:physiopathology*; D006801:Humans; D007511:Ischemia / Q000209:etiology*; D008279:Magnetic Resonance Imaging; D008297:Male; D009203:Myocardial Infarction / Q000503:physiopathology / Q000628:therapy*; D020335:Paraparesis / Q000209:etiology* / Q000473:pathology / Q000534:rehabilitation; D013131:Spine / Q000098:blood supply*; D016896:Treatment Outcome