Acute myocardial infarction with cardiogenic shock in a patient with acute aortic dissection

Cyril Camaro; Noëmi T.A.E. Wouters; Melvyn Tjon Joe Gin; Hans A. Bosker

doi:10.1016/j.ajem.2008.11.007

Switch to Standard View Switch to Enhanced View

Acute myocardial infarction with cardiogenic shock in a patient with acute aortic dissection

Cyril Camaro, MD

Department of Cardiology, Rijnstate Hospital, PO Box 9555, 6800 TA Arnhem, The Netherlands

Noëmi T.A.E. Wouters, MD

Department of Cardiology, Radboud University Medical Centre, 6500 HB Nijmegen, The Netherlands

Melvyn Tjon Joe Gin, MD

Department of Cardiology, Rijnstate Hospital, 6800 TA Arnhem, The Netherlands

Hans A. Bosker, MD, PhD

Department of Cardiology, Rijnstate Hospital, 6800 TA Arnhem, The Netherlands

DOI: http://dx.doi.org/10.1016/j.ajem.2008.11.007

Purchase this article (PDF Included)

$31.50 USD (24 hour access)

Subscribe to this title

To view the full text, please login as a subscribed user or purchase a subscription. Click here to view the full text on ScienceDirect.

Fig. 1

Electrocardiography showing signs of diffuse myocardial ischemia.

Fig. 2

A, Coronary angiography of the left coronary artery before PCI. Right anterior oblique with cranial angulation. B, Coronary angiography of the left coronary artery after PCI and stenting of the LMCA. Left anterior oblique with cranial angulation.

Fig. 3

A, Transesophageal echocardiography with visualization of an intimal flap. B, Transesophageal echocardiography with visualization of an intimal flap with an eccentric aortic regurgitation.

Diagnosing acute Stanford type A aortic dissection with the uncommon involvement of the left main coronary artery (LMCA) remains challenging for the emergency physician because it can resemble acute myocardial infarction with cardiogenic shock. The following case report illustrate this infrequent but critical situation. A 52-year-old woman with a history of hypertension awakened with acute retrosternal chest pain accompanied by nausea and vomiting. She was referred to our hospital for primary coronary intervention because of acute myocardial infarction with cardiogenic shock.

To access this article, please choose from the options below

Log In

Register

Create a new account

Purchase access to this article

$31.50 USD|Online access for 24 hours

Claim Access

If you are a current subscriber with Society Membership or an Account Number, claim your access now.

Subscribe to this title

Purchase a subscription to gain access to this and all other articles in this journal.

Institutional Access

Visit ScienceDirect to see if you have access via your institution.

Acute myocardial infarction with cardiogenic shock in a patient with acute aortic dissection

Correspondence

Correspondence

To access this article, please choose from the options below

Log In

Register

Purchase access to this article

Claim Access

Subscribe to this title

Institutional Access

Article Tools

Related Articles