JACC. Case reports · 2025
Utility of Intravascular Ultrasound to Diagnose Type A Aortic Dissection Presenting as Acute Myocardial Infarction.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Hopkins Nathan, Laher Shaaheen, Hayes Oliver, Mridha Naim, Raffel O Christopher
Аннотация
BACKGROUND: Coronary occlusion during type A aortic dissection is a serious complication, associated with high mortality if not identified and treated promptly.
CASE SUMMARY: We present a case of acute type A aortic dissection, diagnosed with intravascular ultrasound during emergency percutaneous coronary intervention (PCI) for ST-elevation myocardial infarction. Emergency PCI was successfully performed as a bridge to definitive central aortic repair surgery.
DISCUSSION: This case highlights the integration of multiple diagnostic cardiac imaging modalities in the time-critical evaluation and management of aortic dissection as a cause for ST-elevation myocardial infarction. This case also demonstrates the coordinated multidisciplinary care essential to the initial and long-term management of this life-threatening condition.
TAKE-HOME MESSAGES: This case highlights the ability to promptly diagnose acute type A aortic dissection using intravascular ultrasound in patients presenting with acute coronary syndrome. Initial reperfusion with PCI can provide a life-saving bridge to definitive surgical repair.
CASE SUMMARY: We present a case of acute type A aortic dissection, diagnosed with intravascular ultrasound during emergency percutaneous coronary intervention (PCI) for ST-elevation myocardial infarction. Emergency PCI was successfully performed as a bridge to definitive central aortic repair surgery.
DISCUSSION: This case highlights the integration of multiple diagnostic cardiac imaging modalities in the time-critical evaluation and management of aortic dissection as a cause for ST-elevation myocardial infarction. This case also demonstrates the coordinated multidisciplinary care essential to the initial and long-term management of this life-threatening condition.
TAKE-HOME MESSAGES: This case highlights the ability to promptly diagnose acute type A aortic dissection using intravascular ultrasound in patients presenting with acute coronary syndrome. Initial reperfusion with PCI can provide a life-saving bridge to definitive surgical repair.