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.
Dissection, aorta, temporary pacing wire, artefact.
Muhammad Nadeem Attar, 28, St Francis Close, Preston PR2 9WJ, Lancs, UK. Tel. +44.7981.925 483. E-mail: nadattar@hotmail.com
2011-05-08T00:00:00
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