Volume 26, Issue 120, February 2022

Type-A aortic dissection masquerading as acute inferior wall myocardial infarction - A rare case report

Nipun Bawiskar^1♦, Sandeep Kamat², Sourya Acharya³, Sandeep Mohale⁴, Sunil Kumar⁵

¹Post Graduate Resident, Dept. of Department of medicine, Jawahar Lal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, Maharashtra, India.
²Assistant professor, Department of Cardiology, Topiwala National Medical College and B.Y.L Niar Hospital, Mumbai, India
³Professor and Head, Department of medicine, Jawahar Lal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, Maharashtra, India
⁴Associate Professor, Department of medicine, Jawahar Lal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, Maharashtra, India
⁵Professor, Department of medicine, Jawahar Lal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, Maharashtra, India

^♦Corresponding author
Post Graduate Resident, Dept. of Department of medicine, Jawahar Lal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, Maharashtra, India

ABSTRACT

Aortic dissection occur secondary to splitting of the layers in the wall of the aorta. There is a tear in the intima that results in entry of blood in between the intima and media. Type A dissection typically occurs in the ascending part of the aorta. The tear is brachiocephalic artery. It is a medical emergency. Mortality is high even though there is an advance in medical and surgical techniques. Acute myocardial infarction is a clinical mimic of aortic dissection. This case report discusses a patient with chest pain in the retrosternal area radiating to the back; aortic dissection manifesting as acute inferior wall myocardial infarction.

Keywords: acute myocardial infarction, aortic dissection, chest pain

Medical Science, 2022, 26, ms61e2007

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DOI: https://doi.org/10.54905/disssi/v26i120/ms61e2007

Published: 08 February 2022