Aortic Aneurysm Mimicking Inferior ST-Elevation Myocardial Infarction: A Case Report.
Ahmed Qasim Mohammed AlhatemiEzzat Mohammed Hussain AzizAmjed Hussein Alwan Al-YaseenHashim Talib HashimZaid Haitham AbduljabbarSalwan Qahtan SultanTiba Khalid AbdulhussainRand AbdulhussainPublished in: Journal of investigative medicine high impact case reports (2024)
Here, we report a rare case of a 22-year-old female presenting with recurrent chest pain mimicking inferior ST-elevation myocardial infarction (STEMI) but ultimately attributed to an aortic aneurysm. Despite facing initial challenges in diagnosis, such as normal troponin levels and temporary electrocardiogram (ECG) changes, advanced imaging showed a large mass in the chest pressing on the right coronary artery. Prompt multidisciplinary intervention, including surgical resection of the aneurysm, led to successful management and improved outcomes. This case highlights the importance of considering unusual etiologies in atypical presentations of myocardial infarction, necessitating comprehensive evaluation and collaboration among various specialties for optimal patient care.
Keyphrases
- st elevation myocardial infarction
- aortic aneurysm
- rare case
- coronary artery
- percutaneous coronary intervention
- pulmonary artery
- randomized controlled trial
- high resolution
- st segment elevation myocardial infarction
- heart failure
- acute coronary syndrome
- coronary artery disease
- left ventricular
- heart rate variability
- heart rate
- case report
- quality improvement
- blood pressure
- type diabetes
- fluorescence imaging
- pulmonary arterial hypertension
- adipose tissue
- pulmonary hypertension
- insulin resistance
- weight loss
- clinical evaluation