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|Title:||Peripartum acute anterior ST segment elevation myocardial infarction: An uncommon presentation of acute aortic dissection|
|Keywords:||Acute anterior myocardial infarction|
Cystic medial degeneration
|Citation:||Omar, A.R., Goh, W.-P., Lim, Y.-T. (2007-10). Peripartum acute anterior ST segment elevation myocardial infarction: An uncommon presentation of acute aortic dissection. Annals of the Academy of Medicine Singapore 36 (10) : 854-856. ScholarBank@NUS Repository.|
|Abstract:||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 intimai 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.|
|Source Title:||Annals of the Academy of Medicine Singapore|
|Appears in Collections:||Staff Publications|
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