A Misleading Diagnosis: Anterolateral STEMI Disguising Type A Aortic Dissection in Postpartum

Abstract

• Page 1 of 4 • Balina and Wool. Int J Clin Cardiol 2020, 7:177 Citation: Balina H, Wool T (2020) A Misleading Diagnosis: Anterolateral STEMI Disguising Type A Aortic Dissection in Postpartum. Int J Clin Cardiol 7:177. doi.org/10.23937/2378-2951/1410177 Accepted: May 30, 2020; Published: June 01, 2020 Copyright: © 2020 Balina H, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. In the lab she was found to be increasingly hypoxemic and had an episode of vomiting, requiring intubation. Transthoracic echocardiogram showed mild moderate left ventricular dysfunction with no pericardial effusion. The right femoral artery and vein were accessed percutaneously. A 6 French JR4 catheter over a J wire was advanced into the ascending aorta, however due to difficulty encountered in passing the catheter through aortic valve, there was a suspicion for aortic dissection and injection through Judkins catheter confirmed the presumed diagnosis (Figure 2).