Medical image of the week: type A aortic dissection extending into main coronary artery

Southwest Journal of Pulmonary and Critical Care

Ahsan C¹  Abela O¹  Malik AO¹  Diep J¹ 

[1] University of Nevada Las Vegas, Las Vegas, NV USA;

关键词: aortic dissection;    aorta;    dissection;    electrocardiogram;    EKG;    coronary angiogram;    CT scan;    CT angiogram;    chest pain;    pathogenesis;   

DOI  :  10.13175/swjpcc044-17

来源: DOAJ

【 摘 要 】

No abstract available. Article truncated at 150 words. A 58-year-old woman with no significant past medical history, presented to the emergency department with complains of sudden onset, severe , non-radiating epigastric pain associated with nausea and vomiting. An electrocardiogram (EKG) done in emergency department showed ST segment elevation in the anterior leads (Figure 1). Blood pressure at presentation was 141/79, and she had symmetrical bilateral pulses of the upper extremities, no diastolic murmur, and no neurologic deficit. The patient was taken to catherization laboratory, for ST segment elevated myocardial infarction (STEMI). She was found have aortic dissection extending to the left main coronary artery (Figure 2). Cardiothoracic surgery was called immediately. Computed tomography angiogram (CTA) of the thoracic and abdominal aorta revealed Debakey type 1 aortic dissection. (Figure 3). The patient was taken to the operating room. Unfortunately, the patient suffered pulseless electrical activity (PEA) arrest during anesthesia induction from which she could not be revived. Aortic dissection …

【 授权许可】

Unknown