ArticleJACC. Case reports2026
Stanford Type A Aortic Dissection After Primary Percutaneous Coronary Intervention for Suspected ST-Segment Elevation Myocardial Infarction.
Article in JACC. Case reports, 2026. 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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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Abstract
backgroundAcute aortic dissection (AAD) can mimic acute myocardial infarction, and although rare, it may occur after percutaneous coronary intervention. CASE SUMMARY: A 68-year-old man, a smoker with hypertension, presented with chest pain. Electrocardiogram showed Q waves with mild ST-segment elevation. Myoglobin and D-dimer were mildly elevated. Coronary angiography revealed near-total occlusion of the proximal left anterior descending artery with aneurysmal dilation and severe stenosis of the distal right coronary artery. Emergency percutaneous coronary intervention relieved symptoms, but severe chest-back pain with shock recurred 8 hours later. Computed tomography angiography confirmed Stanford type A dissection with rupture and massive pericardial effusion. Despite surgery and intensive care, the patient died of multiorgan failure. DISCUSSION: In atypical acute myocardial infarction, a rapid loop combining D-dimer, bedside echocardiography, computed tomography angiography, and AAD risk scoring may reduce missed diagnoses. TAKE-HOME MESSAGE: In chest pain patients with aortic dilation, AAD risk remains despite coronary angiography findings.
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