Myocardial ischaemia secondary to ruptured abdominal aortic aneurysm.
Ben LiVikramaditya PrabhudesaiMark WheatcroftMohammad QaduraPublished in: BMJ case reports (2022)
A 63-year-old man presented to an outside hospital with presyncope, back pain, hypotension and inferior ST segment elevations. He received aspirin, ticagrelor and heparin and was transferred to our institution as a Code STEMI (ST-segment elevation myocardial infarction). A coronary angiogram demonstrated multivessel disease but no occlusive lesion for acute intervention. The following day, he developed worsening abdominal/back pain. A CT angiogram (CTA) showed a ruptured infrarenal abdominal aortic aneurysm. He underwent urgent percutaneous endovascular aneurysm repair. CTA on postoperative day (POD) 10 demonstrated a patent stent graft with no endoleak. The patient was discharged on POD 12 in stable condition.
Keyphrases
- abdominal aortic aneurysm
- st segment elevation myocardial infarction
- percutaneous coronary intervention
- coronary artery disease
- antiplatelet therapy
- st elevation myocardial infarction
- aortic dissection
- acute coronary syndrome
- cardiovascular events
- liver failure
- coronary artery bypass grafting
- randomized controlled trial
- coronary artery
- low dose
- patients undergoing
- case report
- left ventricular
- computed tomography
- respiratory failure
- image quality
- dual energy
- contrast enhanced
- minimally invasive
- venous thromboembolism
- healthcare
- ultrasound guided
- radiofrequency ablation
- coronary artery bypass
- drug induced
- sickle cell disease
- acute care
- adverse drug
- cardiovascular disease
- type diabetes
- aortic stenosis
- magnetic resonance
- intensive care unit
- aortic valve
- endovascular treatment
- aortic aneurysm