Acute Aortic Dissection Mimicking STEMI in the Catheterization Laboratory : Early Recognition Is Mandatory

الملخص EN

Coronary malperfusion due to type A aortic dissection is a life-threatening condition where timely recognition and treatment are mandatory.

A 77-year-old woman underwent an acute evolving type A aortic dissection mimicking acute myocardial infarction.

Two pathophysiologic mechanisms are discussed: either thrombosis migrating from a previously treated giant aneurism of proximal left anterior descending or a local arterial complication due to left main stenting.

Recognition of these occurrences in the catheterization laboratory is important to look immediately for surgery.