E-ISSN 2149-9934
A Case of Aortic Dissection Complicating Right Subclavian Artery Occlusion and Mimicking Inferior Myocardial Infarction
1 Department of Cardiology, Gebze Medikal Park Hospital, Kocaeli, Turkey  
2 Department of Cardiology, Keçiören Training and Research Hospital, Ankara, Turkey  
3 Department of Cardiology, Private Ümit Hospital, Eskişehir, Turkey  
4 Department of Cardiovascular Surgery, Medikalpark Tokat Hospital, Tokat, Turkey  
JEMCR 2017; 8: 40-42
DOI: 10.5152/jemcr.2016.1782
Key Words: Aortic dissection, myocardial infarction, subclavian artery occlusion

Introduction: Acute aortic dissection is the most common catastrophic event affecting the aorta. Aortic dissection can present with a wide range of manifestations and is easily misdiagnosed.


Case Report: Here we report a case of aortic dissection that was initially misdiagnosed as inferior wall myocardial infarction although the initial symptoms were related to right subclavian artery occlusion caused by a dissection flap. Aortic dissection was diagnosed after the patient underwent coronary angiography. The patient was managed with immediate surgical repair and was discharged in a stable condition.


Conclusion: This case report illustrates the importance of having a high index of suspicion for aortic dissection to avoid a mistaken diagnosis in patients with an electrocardiogram (ECG) suggestive of ST elevation myocardial infarction (STEMI). 

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