Submitted: March 15, 2021 | Approved: March 17, 2021 | Published: March 18, 2021
How to cite this article: Chen CC, Tsai HW, Hu SY. Aortic dissection complicating carotid dissection and myocardial infarction. J Clin Med Exp Images. 2021; 5: 003-003.
Copyright License: © 2021 Chen CC, et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
A 58-year-old hypertensive man presented to our insti-tution with acute chest pain and dizziness. Electrocardiogram revealed inferior wall myocardial infarction with suspected right ventricular involvement (Figure 1A). Computed tomographic aortography (CTA) depicted ascending aortic dissection (AAD) with involvement of bilateral carotid, subclavian, and right common iliac arteries (Figure 1B). Replacements of aortic valve and ascending aorta with CABG (Ao-RSVG1-LAD and Ao-RSVG2-RCA) were conducted.
There are 5% - 8% of ST-segment elevation and 15% - 41% with dissection of the common carotid or subclavian artery in AAD [1-3]. CTA is a mandatory tool to confirm the diagnosis of AAD and its involvement . Point-of-care ultrasound is an alternative tool to diagnose AAD if it is contraindicated or not available. AAD with involvement of coronary artery will lead to poor prognosis if delay intervention .
This study was approved by the Institutional Review Board of Taichung Veterans General Hospital (No. CE19152A).
This work was supported by grants from the Taichung Veterans General Hospital (Grant numbers: TCVGH-109 7202C). The funder had no role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript.
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