title: A Type A Aortic Dissection Mimicking an Acute Myocardial Infarction.
abstract: We describe a case of a 54 years old man in whom an initial diagnosis of acute coronary syndrome (ACS) revealed to be finally an acute aortic dissection. This case report stresses the importance to maintain a high grade of suspicion of aortic dissection as a possible alternative in presence of eletrocardiographic myocardial ischemic signs. In many medical centers where thrombolitic therapy, antiplatelets receptor blockers, heparin or percutaneous coronary angioplasty is the first line therapy for ACS the outcome may be catastrophic in situation such as aortic dissection.
authors.affiliation: Section of Cardiovascular and Cardiosurgery Disease, Department of Applied Experimental Medicine,Brescia Study University, Italy.
authors.forename: Antonio
authors.initials: A
authors.lastname: D'Aloia
authors.affiliation: Section of Cardiovascular and Cardiosurgery Disease, Department of Applied Experimental Medicine,Brescia Study University, Italy.
authors.forename: Enrico
authors.initials: E
authors.lastname: Vizzardi
authors.affiliation: Section of Cardiovascular and Cardiosurgery Disease, Department of Applied Experimental Medicine,Brescia Study University, Italy.
authors.forename: Silvia
authors.initials: S
authors.lastname: Bugatti
authors.affiliation: Section of Cardiovascular and Cardiosurgery Disease, Department of Applied Experimental Medicine,Brescia Study University, Italy.
authors.forename: Marco
authors.initials: M
authors.lastname: Magatelli
authors.affiliation: Section of Cardiovascular and Cardiosurgery Disease, Department of Applied Experimental Medicine,Brescia Study University, Italy.
authors.forename: Ivano
authors.initials: I
authors.lastname: Bonadei
authors.affiliation: Section of Cardiovascular and Cardiosurgery Disease, Department of Applied Experimental Medicine,Brescia Study University, Italy.
authors.forename: Riccardo
authors.initials: R
authors.lastname: Rovetta
authors.affiliation: Section of Cardiovascular and Cardiosurgery Disease, Department of Applied Experimental Medicine,Brescia Study University, Italy.
authors.forename: Filippo
authors.initials: F
authors.lastname: Quinzani
authors.affiliation: Section of Cardiovascular and Cardiosurgery Disease, Department of Applied Experimental Medicine,Brescia Study University, Italy.
authors.forename: Antonio
authors.initials: A
authors.lastname: Curnis
authors.affiliation: Section of Cardiovascular and Cardiosurgery Disease, Department of Applied Experimental Medicine,Brescia Study University, Italy.
authors.forename: Livio Dei
authors.initials: LD
authors.lastname: Cas
keywords: Aortic dissection; Myocardial infarction