Annals of the Academy of Medicine, Singapore · 2007
Peripartum acute anterior ST segment elevation myocardial infarction: an uncommon presentation of acute aortic dissection.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Omar Abdul Razakjr, Goh Wei-Ping, Lim Yean-Teng
Аннотация
INTRODUCTION: Atherosclerotic coronary artery thrombosis is the most common cause of acute myocardial infarction.
CLINICAL PICTURE: A 30-year-old lady presented with acute peripartum massive anterior ST segment myocardial infarction and cardiogenic shock. This was due to acute Stanford type A aortic dissection with the intimal flap occluding the left coronary ostium. The initial diagnosis was not apparent. Echocardiography confirmed the diagnosis.
TREATMENT AND OUTCOME: She underwent emergency surgical repair (Bentall procedure). Pathology confirmed underlying idiopathic cystic medial degeneration.
CONCLUSION: A high index of clinical suspicion is required in acute myocardial infarction presenting without traditional cardiovascular risk factors.
CLINICAL PICTURE: A 30-year-old lady presented with acute peripartum massive anterior ST segment myocardial infarction and cardiogenic shock. This was due to acute Stanford type A aortic dissection with the intimal flap occluding the left coronary ostium. The initial diagnosis was not apparent. Echocardiography confirmed the diagnosis.
TREATMENT AND OUTCOME: She underwent emergency surgical repair (Bentall procedure). Pathology confirmed underlying idiopathic cystic medial degeneration.
CONCLUSION: A high index of clinical suspicion is required in acute myocardial infarction presenting without traditional cardiovascular risk factors.