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Cardiovascular diseases are the most common cause of mortality and morbidity in adults worldwide.1 Coronary angiography (CAG) is the gold standard method for evaluating atherosclerotic coronary artery disease (CAD).2 It is conventionally performed via the trans-femoral (TF) route. Recently, however, the trans-radial (TR) route has become the preferred way.3 The TR route offers better procedure comfort, shorter hospitalization […]

Pseudo-dissection of ascending aorta in inferior myocardial infarction

Muhammad Nadeem Attar, Hossam Elmahy, Grahame K. Goode
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Published Online: Aug 3rd 2018 Heart International 2011;6(1):e1 DOI: https://doi.org/10.4081/hi.2011.e1
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Abstract

Overview

Acute aortic dissection is a cardiac emergency
which can present as inferior myocardial
infarction. It has high morbidity and mortality
requiring prompt diagnosis and treatment.
Rapid advances in non-invasive imaging
have facilitated the early diagnosis of this
condition and in ruling out this potentially catastrophic
illness. We report an interesting
case of a 57-year old man who presented with
inferior myocardial infarction requiring
thrombolysis and temporary pacing wire for
complete heart block. An echocardiogram was
highly suspicious of aortic dissection. CT scan
confirmed that the malposition of the temporary
pacing wire through the aorta mimicked
aortic dissection.

Keywords

Dissection, aorta, temporary pacing wire, artefact.

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Article Information

Correspondence

Muhammad Nadeem Attar, 28, St Francis Close, Preston PR2 9WJ, Lancs, UK. Tel. +44.7981.925 483. E-mail: nadattar@hotmail.com

Received

2011-05-08T00:00:00

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