Acute Myocardial Infarction and Concomitant Stroke as the Manifestations in a Patient with Type A Aortic Dissection: A Case Report with Three Years of Follow-Up.

A 55-year-old male patient presented with repeated acute retrosternal chest pain. Twelve-lead electrocardiogram and cardiac enzymes revealed non-ST elevation myocardial infarction. He was treated as non-ST elevation myocardial infarction at first. The symptoms of left-sided hemiparesis and aphasia occurred later on after admission. The results of emergent brain computed tomography and magnetic resonance imagining demonstrated acute stroke. The unusual presentation warned us of the possibility of aortic dissection. Besides the reports of heart and vessels computed tomography indicated aortic dissection as the underlying cause. Emergent surgical repair with preservation of the aortic valve led to a good recovery of heart and cerebral function. To the best of our knowledge, there were only three cases in the review of literature presenting with acute myocardial infarction and concurrent stroke resulting from acute aortic dissection.