Cath-Lab Clues to Type A Aortic Dissection Presenting as Acute Myocardial Infarction
Yingdong Wang1, Yuhe Sheng2, Yaling Han2
1Department of Cardiology, General Hospital of Northern Theater Command, Shenyang, Liaoning, China; Lanzhou University, Lanzhou, Gansu, China.
Image(S):
Emergency coronary angiography and computed tomography angiography showing catheterization laboratory (Cath-Lab) clues to type A aortic dissection presenting as acute myocardial infarction.
Case Summary:
A 67-year-old man underwent emergency angiography for anterior ST-segment elevation. Difficult coronary engagement, thin strip-like left coronary narrowing, and marked catheter swing prompted reassessment. Computed tomography angiography confirmed type A aortic dissection involving the left main ostium, and unnecessary percutaneous coronary intervention was avoided. Five recurring angiographic warning clues are summarized.
Take-Home Messages:
These 5 practical Cath-Lab clues would help you away from emergency type A aortic dissection trap. Timely recognition of Cath-Lab clues and pause; activate the aortic surgical team.
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