Document Detail

Peripartum acute anterior ST segment elevation myocardial infarction: an uncommon presentation of acute aortic dissection.
MedLine Citation:
PMID:  17987238     Owner:  NLM     Status:  MEDLINE    
INTRODUCTION: Atherosclerotic coronary artery thrombosis is the most common cause of acute myocardial infarction. CLINICAL PICTURE: A 30-year-old lady presented with acute peripartum massive anterior ST segment myocardial infarction and cardiogenic shock. This was due to acute Stanford type A aortic dissection with the intimal flap occluding the left coronary ostium. The initial diagnosis was not apparent. Echocardiography confirmed the diagnosis. TREATMENT AND OUTCOME: She underwent emergency surgical repair (Bentall procedure). Pathology confirmed underlying idiopathic cystic medial degeneration. CONCLUSION: A high index of clinical suspicion is required in acute myocardial infarction presenting without traditional cardiovascular risk factors.
Abdul Razakjr Omar; Wei-Ping Goh; Yean-Teng Lim
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Annals of the Academy of Medicine, Singapore     Volume:  36     ISSN:  0304-4602     ISO Abbreviation:  Ann. Acad. Med. Singap.     Publication Date:  2007 Oct 
Date Detail:
Created Date:  2007-11-07     Completed Date:  2008-02-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7503289     Medline TA:  Ann Acad Med Singapore     Country:  Singapore    
Other Details:
Languages:  eng     Pagination:  854-6     Citation Subset:  IM    
Cardiac Department, National University Hospital, Singapore.
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MeSH Terms
Acute Disease
Aneurysm, Dissecting / complications*,  diagnosis,  surgery
Aortic Aneurysm / complications*,  diagnosis,  surgery
Myocardial Infarction / etiology*,  physiopathology*
Pregnancy Complications, Cardiovascular*
Shock, Cardiogenic / etiology

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