Aortic Aneurysm Mimicking Inferior ST-Elevation Myocardial Infarction: A Case Report

被引：2

作者：

Alhatemi, Ahmed Qasim Mohammed ^{[1
]}

Aziz, Ezzat Mohammed Hussain ^{[2
]}

Al-Yaseen, Amjed Hussein Alwan ^{[2
]}

Hashim, Hashim Talib ^{[3
]}

Abduljabbar, Zaid Haitham ^{[2
]}

Sultan, Salwan Qahtan ^{[2
]}

Abdulhussain, Tiba Khalid ^{[1
]}

Abdulhussain, Rand ^{[4
]}

机构：

[1] Al Nasiriyah Teaching Hosp, Al Nasiriya 64001, Thi Qar, Iraq

[2] Al Nasiriyah Heart Hosp, Al Nasiriya, Thi Qar, Iraq

[3] Warith Al Anbiyaa Univ, Karbala, Iraq

[4] Univ Huddersfield, Huddersfield, England

来源：

JOURNAL OF INVESTIGATIVE MEDICINE HIGH IMPACT CASE REPORTS | 2024年 / 12卷

关键词：

emergency medicine; cardiology; cardiothoracic surgery; radiology and imaging;

D O I：

10.1177/23247096241264634

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Here, we report a rare case of a 22-year-old female presenting with recurrent chest pain mimicking inferior ST-elevation myocardial infarction (STEMI) but ultimately attributed to an aortic aneurysm. Despite facing initial challenges in diagnosis, such as normal troponin levels and temporary electrocardiogram (ECG) changes, advanced imaging showed a large mass in the chest pressing on the right coronary artery. Prompt multidisciplinary intervention, including surgical resection of the aneurysm, led to successful management and improved outcomes. This case highlights the importance of considering unusual etiologies in atypical presentations of myocardial infarction, necessitating comprehensive evaluation and collaboration among various specialties for optimal patient care.

引用

页数：7

共 14 条

[1] De Winter syndrome in action: Captured on defibrillator [J].

Alhatemi, Ahmed Qasim Mohammed ;

Hashim, Hashim Talib ;

Aziz, Ezzat Mohammed Hussain ;

Abdulhussain, Tiba Khaild ;

Hashim, Ali Talib .

CLINICAL CASE REPORTS, 2024, 12 (02)

[2] Post myocardial infarction left ventricular intramural dissecting hematoma: a case report describing a very rare complication [J].

Gurjar, Hitesh ;

Saad, Muhammad ;

Ali, Nisha ;

Regmi, Sudiksha ;

Upreti, Prakash ;

Karna, Sumit ;

Balaram, Sandhya K. ;

Kamalakkannan, Gayathri ;

Vittorio, Timothy J. .

BMC CARDIOVASCULAR DISORDERS, 2022, 22 (01)

[3]

Holloway B J, 2011, Br J Radiol, V84 Spec No 3, pS338, DOI 10.1259/bjr/30655825

[4] Thoracic and abdominal aortic aneurysms [J].

Isselbacher, EM .

CIRCULATION, 2005, 111 (06) :816-828

[5] Coronary artery disease in aortic aneurysm and dissection [J].

Jung, Joon Chul ;

Park, Kay-Hyun .

INDIAN JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2022, 38 (SUPPL 1) :115-121

[6]

Lee I., 2020, J CARDIOL CARDIOVASC, V4, P4

[7]

Maggiore Paul Leo, 2016, J Cardiol Cases, V14, P40, DOI 10.1016/j.jccase.2016.03.018

[8] Age-Dependent Ascending Aorta Mechanics Assessed Through Multiphase CT [J].

Martin, Caitlin ;

Sun, Wei ;

Primiano, Charles ;

McKay, Raymond ;

Elefteriades, John .

ANNALS OF BIOMEDICAL ENGINEERING, 2013, 41 (12) :2565-2574

[9] Heritable thoracic aortic disease: a literature review on genetic aortopathies and current surgical management [J].

Mills, Alexander C. ;

Sandhu, Harleen K. ;

Ikeno, Yuki ;

Tanaka, Akiko .

GENERAL THORACIC AND CARDIOVASCULAR SURGERY, 2024, 72 (05) :293-304

[10] A Large Ascending Aorta Thrombus in a Patient with Acute Myocardial Infarction-Case Report [J].

Moldovan, Horatiu ;

Bulescu, Cristian ;

Sibisan, Andra-Madalina ;

Tiganasu, Robert ;

Cacoveanu, Catalin ;

Nica, Claudia ;

Rachieru, Andreea ;

Gheorghita, Daniela ;

Zaharia, Ondin ;

Balanescu, Serban ;

Scafa-Udriste, Alexandru .

MEDICINA-LITHUANIA, 2021, 57 (11)

← 1 2 →