A Case of Aortic Dissection Complicating Right Subclavian Artery Occlusion and Mimicking Inferior Myocardial Infarction

Authors : Ahmet DOKSÖZ, Müjgan Tek ÖZTÜRK, Wesam SALHA, Murat TARAKTAŞ, Hüseyin SOYDEMİR

Pages : 40-42

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Publication Date : 2017-04-01

Article Type : Other Papers

Abstract :Introduction: Acute aortic dissection is the most common catastrophic event affecting the aorta. Aortic dissection can present with a wide range of manifestations and is easily misdiagnosed. Case Report: Here we report a case of aortic dissection that was initially misdiagnosed as inferior wall myocardial infarction although the initial symptoms were related to right subclavian artery occlusion caused by a dissection flap. Aortic dissection was diagnosed after the patient underwent coronary angiography. The patient was managed with immediate surgical repair and was discharged in a stable condition.Conclusion: This case report illustrates the importance of having a high index of suspicion for aortic dissection to avoid a mistaken diagnosis in patients with an electrocardiogram insert ignore into journalissuearticles values(ECG); suggestive of ST elevation myocardial infarction insert ignore into journalissuearticles values(STEMI);
Keywords : Aortic dissection, myocardial infarction, subclavian artery occlusion