Concomitant Spontaneous Tension Pneumothorax and Acute Myocardial Infarction

A 71-year-old man presented to our hospital for dyspnea lasting for the past 3 days. Chest X-ray and computed tomography demonstrated right tension pneumothorax, and an electrocardiogram suggested acute inferior myocardial infarction. Despite the relief of tension pneumothorax, the electrocardiograp...

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Bibliographic Details
Published in:Internal Medicine 2019/04/15, Vol.58(8), pp.1131-1135
Main Authors: Arao, Kenshiro, Mase, Takaaki, Nakai, Mori, Sekiguchi, Hiroshi, Abe, Yasunori, Kuroudu, Naomi, Oobayashi, Ouji
Format: Article
Language:English
Subjects:
acute myocardial infarction
Angiography
Case Report
Chest
Computed tomography
Coronary artery
Dyspnea
EKG
electrocardiogram
Electrocardiography
Heart attacks
Internal medicine
Medical treatment
Myocardial infarction
Pneumothorax
Respiration
Tension
tension pneumothorax
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Summary:A 71-year-old man presented to our hospital for dyspnea lasting for the past 3 days. Chest X-ray and computed tomography demonstrated right tension pneumothorax, and an electrocardiogram suggested acute inferior myocardial infarction. Despite the relief of tension pneumothorax, the electrocardiographic findings were not completely resolved. Emergency coronary angiography demonstrated an occlusive lesion in the right coronary artery, and percutaneous coronary intervention was performed successfully. Thereafter, the chest tube was removed, and he was discharged. While rare, multiple life-threatening diseases that present with similar symptoms can coexist, so a re-evaluation after performing the initial treatment for one of these diseases is crucial.
ISSN:0918-2918
1349-7235
DOI:10.2169/internalmedicine.1422-18