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Updated: May 30, 2026

Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
[Acute myocardial infarction due to an acute aortic dissection]
C Stefanidis1, A Sanoussi, H Demanet
1Services de Chirurgie Cardiaque, C.H.U. Brugmann. constantin.stefanidis@chu-brugmann.be
Myocardial infarction can mask aortic dissection. Initial treatment for myocardial infarction, including anticoagulation, should not be altered even if emergent surgery is needed.
Area of Science:
- Cardiology
- Cardiovascular Surgery
- Medical Diagnostics
Background:
- Myocardial ischemia from ascending aortic dissection is rare.
- A 76-year-old man presented with chest pain mimicking acute myocardial infarction.
Purpose of the Study:
- To highlight the diagnostic challenge of aortic dissection presenting as myocardial infarction.
- To emphasize the importance of considering aortic dissection in myocardial infarction cases.
Main Methods:
- Case report of a 76-year-old male with sudden chest pain.
- Electrocardiogram (ECG) and coronary angiography were performed.
- Computed tomography (CT) confirmed type A aortic dissection.
Main Results:
- ECG suggested inferior wall acute myocardial infarction.
- Coronary angiography revealed anomalous right coronary artery origin and extrinsic stenosis.
- CT confirmed type A aortic dissection extending to the right coronary artery.
Conclusions:
- Myocardial infarction can obscure the diagnosis of aortic dissection.
- Initial myocardial infarction treatment, including anticoagulation, should be maintained for emergent cardiac surgery.
- This approach may increase postoperative bleeding but is crucial for patient survival.
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