A Case of Aortic Dissection Complicating Right Subclavian Artery Occlusion and Mimicking Inferior Myocardial Infarction
Department of Cardiology, Gebze Medikal Park Hospital, Kocaeli, Turkey
Department of Cardiology, Keçiören Training and Research Hospital, Ankara, Turkey
Department of Cardiology, Private Ümit Hospital, Eskişehir, Turkey
Department of Cardiovascular Surgery, Medikalpark Tokat Hospital, Tokat, Turkey
JEMCR 2017; 8: 40-42
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Key Words: Aortic dissection, myocardial infarction, subclavian artery occlusion
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).