A successfully thrombolysed acute inferior myocardial infarction due to type A aortic dissection with lethal consequences: the importance of early cardiac echocardiography

Autor: Bousoula Eleni, Apostolakis Efstratios, Baikoussis Nikolaos G, Chouchoulis Konstantinos, Theodoropoulos Konstantinos, Kasimis Georgios, Tsigkas Grigorios, Moulias Athanasios, Alexopoulos Dimitrios
Jazyk: angličtina
Rok vydání: 2011
Předmět:
Zdroj: Journal of Cardiothoracic Surgery, Vol 6, Iss 1, p 101 (2011)
Druh dokumentu: article
ISSN: 1749-8090
DOI: 10.1186/1749-8090-6-101
Popis: Abstract Thrombolysis, a standard therapy for ST elevation myocardial infarction (STEMI) in non-PCI-capable hospitals, may be catastrophic for patients with aortic dissection leading to further expansion, rupture and uncontrolled bleeding. Stanford type A aortic dissection, rarely may mimic myocardial infarction. We report a case of a patient with an inferior STEMI thrombolysed with tenecteplase and followed by clinical and electrocardiographic evidence of successful reperfusion, which was found later to be a lethal acute aortic dissection. Prognostic implications of early diagnosis applying transthoracic echocardiography (TTE) are described.
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