Please use this identifier to cite or link to this item: http://scholarbank.nus.edu.sg/handle/10635/131530
Title: Peripartum acute anterior ST segment elevation myocardial infarction: An uncommon presentation of acute aortic dissection
Authors: Omar, A.R.
Goh, W.-P.
Lim, Y.-T. 
Keywords: Acute anterior myocardial infarction
Cystic medial degeneration
Issue Date: Oct-2007
Source: 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
URI: http://scholarbank.nus.edu.sg/handle/10635/131530
ISSN: 03044602
Appears in Collections:Staff Publications

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