Subendocardial Ischemia Caused by Acute Severe Aortic Regurgitation Due to Aortic Root Dissection: A Case Report and Literature Review

Electrocardiogram (ECG) findings showing ST-segment depression in a wide range of leads and ST-segment elevation in aVR are found in patients with acute coronary syndrome with multivessel coronary lesions and left main trunk lesions. A 64-year-old man with a history of eosinophilic granulomatosis pr...

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Bibliographic Details
Published in:Internal Medicine 2023/02/01, Vol.62(3), pp.405-410
Main Authors: Hiraya, Daigo, Sato, Akira, Watabe, Hiroaki, Hoshi, Tomoya, Ieda, Masaki
Format: Article
Language:English
Subjects:
acute severe aortic regurgitation
Aorta
Aortic Dissection - complications
Aortic Dissection - diagnostic imaging
Aortic Dissection - surgery
aortic root dissection
Aortic Valve Insufficiency - diagnostic imaging
Aortic Valve Insufficiency - etiology
Aortic Valve Insufficiency - surgery
Case Report
Dissection, Ascending Aorta
Dyspnea
EKG
Electrocardiography
Granulomatosis
Humans
Internal medicine
Ischemia
Ischemia - complications
Leukocytes (eosinophilic)
Literature reviews
Male
Middle Aged
Myocardial Ischemia - complications
Myocardial Ischemia - diagnostic imaging
Regurgitation
Respiration
subendocardial ischemia
Citations: Items that this one cites
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Summary:Electrocardiogram (ECG) findings showing ST-segment depression in a wide range of leads and ST-segment elevation in aVR are found in patients with acute coronary syndrome with multivessel coronary lesions and left main trunk lesions. A 64-year-old man with a history of eosinophilic granulomatosis presented with chest pain and dyspnea. Although an ECG showed the above findings, he was diagnosed with acute severe aortic regurgitation (AR) complicating aortic root dissection and successfully underwent urgent Bentall operation. These ECG findings indicated that acute severe AR caused subendocardial ischemia.
ISSN:0918-2918
1349-7235
DOI:10.2169/internalmedicine.9488-22