A Case of Acute Aortic Dissection Mimicking Myocardial Ischemia

Abstract

Acute aortic syndrome is a severe and potentially fatal aortic condition. Aortic dissection is due to the tear of the intimal layer, either circumferential or transverse. Primary intimal rip or a medial haemorrhage that dissects into the intima may be the initiating event. Peak incidence occurs in the sixth to seventh decades. Pain that appears out of nowhere. Among its many manifestations, acute aortic syndrome can look like myocardial ischemia. The patient presented to the E.R with complaints of chest pain which is of sudden onset and ECG reveals ST segment elevation which can be difficult to differentiate from MI and acute aortic dissection. In this case report, we will be presenting a case with chest pain who was initially suspected to have had a myocardial infarction instead of an AAD.

Imprint

Nandhyala Durga Venkata Sainadh, Manimekalai Periyasamy, Vinatha M. C.. A Case of Acute Aortic Dissection Mimicking Myocardial Ischemia. Cardiometry; Issue 24; November 2022; p.240-242; DOI: 10.18137/cardiometry.2022.24.240242; Available from: https://www.cardiometry.net/issues/no24-november-2022/case-acute-aortic-dissection