Rabea Shehadi, Robert Zukerman, Gil Gross, Sergey Yalonetsky
{"title":"腹主动脉瘤破裂表现为ST段下抬高心肌缺血1例。","authors":"Rabea Shehadi, Robert Zukerman, Gil Gross, Sergey Yalonetsky","doi":"10.1093/ehjcr/ytaf214","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Case summary: </strong>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.</p><p><strong>Discussion: </strong>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.</p>","PeriodicalId":11910,"journal":{"name":"European Heart Journal: Case Reports","volume":"9 5","pages":"ytaf214"},"PeriodicalIF":0.8000,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12063089/pdf/","citationCount":"0","resultStr":"{\"title\":\"A case report of ruptured abdominal aortic aneurysm presenting as an inferior ST elevation myocardial ischaemia.\",\"authors\":\"Rabea Shehadi, Robert Zukerman, Gil Gross, Sergey Yalonetsky\",\"doi\":\"10.1093/ehjcr/ytaf214\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>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.</p><p><strong>Case summary: </strong>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.</p><p><strong>Discussion: </strong>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.</p>\",\"PeriodicalId\":11910,\"journal\":{\"name\":\"European Heart Journal: Case Reports\",\"volume\":\"9 5\",\"pages\":\"ytaf214\"},\"PeriodicalIF\":0.8000,\"publicationDate\":\"2025-04-29\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12063089/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"European Heart Journal: Case Reports\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1093/ehjcr/ytaf214\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/5/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q4\",\"JCRName\":\"CARDIAC & CARDIOVASCULAR SYSTEMS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"European Heart Journal: Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1093/ehjcr/ytaf214","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/5/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}
A case report of ruptured abdominal aortic aneurysm presenting as an inferior ST elevation myocardial ischaemia.
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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