A case report of ruptured abdominal aortic aneurysm presenting as an inferior ST elevation myocardial ischaemia.

IF 0.8 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS

European Heart Journal: Case Reports Pub Date : 2025-04-29 eCollection Date: 2025-05-01 DOI:10.1093/ehjcr/ytaf214

Rabea Shehadi, Robert Zukerman, Gil Gross, Sergey Yalonetsky

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引用次数: 0

Abstract

Background: Ruptured abdominal aortic aneurysm (RAAA) is a life-threatening condition requiring prompt diagnosis and urgent surgical management. Misdiagnosis is common due to atypical presentations, complicating timely treatment.

Case summary: This case report presents a rare instance of RAAA initially diagnosed as an ST elevation inferior myocardial infarction (STEMI). An otherwise healthy 66-year-old male presented to the emergency room with syncope while the ECG revealed ST segment elevation in the inferior leads. Urgent coronary angiography demonstrated three-vessel disease with no clear culprit lesion, leading to no intervention. An abdominal CT performed shortly afterward confirmed a ruptured infrarenal abdominal aortic aneurysm.

Discussion: This case highlights the importance of considering RAAA in the differential diagnosis of patients presenting with ST segment elevation and no identifiable culprit coronary lesion.

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腹主动脉瘤破裂表现为ST段下抬高心肌缺血1例。

背景：腹主动脉瘤破裂（RAAA）是一种危及生命的疾病，需要及时诊断和紧急手术治疗。误诊是常见的，由于不典型的表现，复杂的及时治疗。病例总结：本病例报告报告一例罕见的RAAA，最初诊断为ST段抬高下段心肌梗死（STEMI）。一位健康的66岁男性因晕厥来到急诊室，心电图显示下导联ST段抬高。紧急冠状动脉造影显示三支血管病变，没有明确的罪魁祸首病变，导致没有干预。不久之后进行的腹部CT证实了肾下腹主动脉瘤破裂。讨论：本病例强调了考虑RAAA在ST段抬高而没有可识别的罪魁祸首冠状动脉病变的患者鉴别诊断中的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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