Coronary manifestations of polyarteritis nodosa (PAN) are rarely identified pre-mortem. We report a 51-year-old female with PAN causing a coronary dissection and new lesions developing over the next 5 days. PAN should be added to the list of differential diagnoses for spontaneous coronary dissection
Myocardial infarction following acute aortic dissection
β Scribed by Khan, Rahman ;Amaram, Sudhir ;Gomes, Joseph A. ;Kelen, George J. ;Lynfield, Joshua ;El-Sherif, Nabil
- Publisher
- John Wiley and Sons
- Year
- 1980
- Tongue
- English
- Weight
- 481 KB
- Volume
- 6
- Category
- Article
- ISSN
- 0098-6569
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β¦ Synopsis
Abstract
Acute aortic dissection may present a clinical picture simulating myocardial infarction, including electrocardiographic changes. The mechanism underlying this mode of presentation has not heretofore been documented during life. We present here for the first time, a patient with acute aortic dissection and the clinical picture of acute myocardial infarction, where the mechanism of infarction has been demonstrated, by preoperative angiographic studies, probably to be due to compression of the extramural portion of the right coronary artery by the false channel of the dissecting hematoma.
π SIMILAR VOLUMES
Acute anterior wall myocardial infarction is a rare but often catastrophic presentation of ascending aortic dissection. We report the case of a patient who was successfully treated by direct stenting of the left main coronary artery, allowing for definitive surgical correction.