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主动脉瘤酷似下壁 ST 段抬高型心肌梗死：病例报告。

Aortic Aneurysm Mimicking Inferior ST-Elevation Myocardial Infarction: A Case Report.

机构信息

Al Nasiriyah Teaching Hospital, Thi Qar, Iraq.

Al Nasiriyah Heart Hospital, Thi Qar, Iraq.

出版信息

J Investig Med High Impact Case Rep. 2024 Jan-Dec;12:23247096241264634. doi: 10.1177/23247096241264634.

DOI:10.1177/23247096241264634
PMID:39044567
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11268006/
Abstract

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.

摘要

在这里，我们报告了一例罕见的病例，一名 22 岁女性反复出现胸痛，类似于下壁 ST 段抬高型心肌梗死（STEMI），但最终归因于主动脉瘤。尽管在诊断方面最初面临挑战，例如肌钙蛋白水平正常和心电图（ECG）暂时改变，但先进的影像学检查显示胸部有一个大肿块，压迫右冠状动脉。及时的多学科干预，包括动脉瘤的手术切除，导致了成功的管理和改善的结果。这个病例强调了在心肌梗死的非典型表现中考虑不常见病因的重要性，需要各专业之间进行全面评估和协作，以实现最佳的患者护理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d564/11268006/98d6e666db4c/10.1177_23247096241264634-fig9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d564/11268006/2d7ec3af434e/10.1177_23247096241264634-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d564/11268006/05d259c95595/10.1177_23247096241264634-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d564/11268006/8e340dfefb98/10.1177_23247096241264634-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d564/11268006/861159a93f02/10.1177_23247096241264634-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d564/11268006/195c39f2dc94/10.1177_23247096241264634-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d564/11268006/80cf067eb4e1/10.1177_23247096241264634-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d564/11268006/43aef25101f6/10.1177_23247096241264634-fig7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d564/11268006/7da20f064dcf/10.1177_23247096241264634-fig8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d564/11268006/98d6e666db4c/10.1177_23247096241264634-fig9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d564/11268006/2d7ec3af434e/10.1177_23247096241264634-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d564/11268006/05d259c95595/10.1177_23247096241264634-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d564/11268006/8e340dfefb98/10.1177_23247096241264634-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d564/11268006/861159a93f02/10.1177_23247096241264634-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d564/11268006/195c39f2dc94/10.1177_23247096241264634-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d564/11268006/80cf067eb4e1/10.1177_23247096241264634-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d564/11268006/43aef25101f6/10.1177_23247096241264634-fig7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d564/11268006/7da20f064dcf/10.1177_23247096241264634-fig8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d564/11268006/98d6e666db4c/10.1177_23247096241264634-fig9.jpg

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