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KMID : 0604620060130020082
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Dongguk Journal of Medicine
2006 Volume.13 No. 2 p.82 ~ p.90
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A Case of Acute Aortic Aneurysmal Rupture Mimic Clinical Symptoms of Acute Myocardial Infarction
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Lee Joon-Yeop
Nam Ji-Hyung
Kim Seung-Min
Kim Joon-Seup
Kim Kang
Sung Nak-Il
Park Jeong-Bae
Chun Woo-Jung
Bae Jun-Ho
Nah Deuk-Young
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Abstract
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The majority of acute aortic aneurysmal rupture presents the symptoms of hypotension, abdominal pain, and/or palpable pulsating abdominal mass. Acute aortic aneurysmal rupture with symptoms of acute myocardial infarction was rarely reported. The treatment of ruptured abdominal aortic aneurysm needs surgery, but acute myocardial infarction needs thrombolytc agents and/or coronary interventions. Hence these diseases need prompt and accurate differential diagnosis. Especially, the 22% of patients with aortic aneurysm have coronary heart disease, and the hypotension due to aortic aneurysmal rupture decreases the flow of coronary artery and causes mimic symptoms of acute myocardial infarction. Therefore, the patients with typical symptoms of acute myocardial infarction without pervious history of aortic aneurysm need more careful examination such as chest/abdominal CT for differential diagnosis of aortic aneurysmal rupture. We reported a 74-year-old female developed typical symptoms of acute myocardial infarction, but was diagnosed as ruptured abdominal aortic aneurysm by aortogram and computed tomography.
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KEYWORD
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abdominal aortic aneurysm, acute myocardial infarction, aortic aneurysmal rupture
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