Acute myocardial infarction due to type A aortic dissection in a patient with corrected congenital cardiopathy: a case report.

G Padilla-Rodríguez, A Gómez-González, M Barquero-Alemán, I Méndez-Santos, J C García-Rubira

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Article in European heart journal. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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5 authors.

G Padilla-RodríguezCardiology Unit, Virgen Macarena Hospital, Avd. Dr. Fedriani 3, 41009 Seville, Spain.ORCID https://orcid.org/0009-0006-3720-5941

A Gómez-GonzálezCardiology Unit, Virgen Macarena Hospital, Avd. Dr. Fedriani 3, 41009 Seville, Spain.

M Barquero-AlemánCardiovascular Surgery, Virgen Macarena Hospital, Avd. Dr. Fedriani 3, 41009 Seville, Spain.

I Méndez-SantosCardiac Imaging, Cardiology Unit, Virgen Macarena Hospital, Avd. Dr. Fedriani 3, 41009 Seville, Spain.

J C García-RubiraAcute Cardiovascular Care Unit, Virgen Macarena Hospital, Avd. Dr. Fedriani 3, 41009 Seville, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Ascending aortic dissection rarely presents as acute myocardial infarction, and when it does, its diagnosis is even more challenging. Case summary: We present a case of a young male with corrected congenital heart disease and a giant ascending aorta aneurysm. He was admitted to hospital for chest pain and was diagnosed with acute anterior myocardial infarction. Imaging tests showed dissection of the ascending aorta. He required complex cardiovascular surgery for Dacron tube implantation to treat the giant ascending aortic aneurysm. Discussion: This case is a reminder of how important adequate differential diagnosis is in the context of myocardial infarction, as well as the management of acute aortic syndrome. In our patient, the patency of the left coronary artery was verified using imaging techniques, and the most likely cause of the infarction could be the aneurysm extrinsically compressing the coronary artery.

Indexed as

acute myocardial infarctionAneurysm of the ascending aortaAortic dissectionCase report

Identifiers

PMID40453552

DOI10.1093/ehjcr/ytaf250

PMCPMC12124399

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