Myocardial ischaemia secondary to ruptured abdominal aortic aneurysm

BMJ Case Rep. 2022 Feb 3;15(2):e248271. doi: 10.1136/bcr-2021-248271.

Abstract

A 63-year-old man presented to an outside hospital with presyncope, back pain, hypotension and inferior ST segment elevations. He received aspirin, ticagrelor and heparin and was transferred to our institution as a Code STEMI (ST-segment elevation myocardial infarction). A coronary angiogram demonstrated multivessel disease but no occlusive lesion for acute intervention. The following day, he developed worsening abdominal/back pain. A CT angiogram (CTA) showed a ruptured infrarenal abdominal aortic aneurysm. He underwent urgent percutaneous endovascular aneurysm repair. CTA on postoperative day (POD) 10 demonstrated a patent stent graft with no endoleak. The patient was discharged on POD 12 in stable condition.

Keywords: healthcare improvement and patient safety; interventional cardiology; interventional radiology; ischaemic heart disease; vascular surgery.

Publication types

  • Case Reports

MeSH terms

  • Aortic Aneurysm, Abdominal* / complications
  • Aortic Aneurysm, Abdominal* / diagnostic imaging
  • Aortic Aneurysm, Abdominal* / surgery
  • Aortic Rupture* / complications
  • Aortic Rupture* / diagnostic imaging
  • Aortic Rupture* / surgery
  • Blood Vessel Prosthesis Implantation*
  • Endovascular Procedures*
  • Humans
  • Male
  • Middle Aged
  • Myocardial Ischemia*
  • Stents
  • Treatment Outcome