E-ISSN 2149-9934
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A Case of Aortic Dissection Complicating Right Subclavian Artery Occlusion and Mimicking Inferior Myocardial Infarction
1 Department of Cardiology, Gebze Medikal Park Hospital, Kocaeli, Turkey  
2 Department of Cardiology, Keçiören Training and Research Hospital, Ankara, Turkey  
3 Department of Cardiology, Private Ümit Hospital, Eskişehir, Turkey  
4 Department of Cardiovascular Surgery, Medikalpark Tokat Hospital, Tokat, Turkey  
JEMCR ; : -
DOI: 10.5152/jemcr.2016.1782
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Key Words: Aortic dissection, myocardial infarction, subclavian artery occlusion
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 (ECG) suggestive of ST elevation myocardial infarction (STEMI). 

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AVES | Copyright © 2016 Emergency Medicine Physicians Association of Turkey | Latest Update: 02.01.2017