Work

A case report of ruptured abdominal aortic aneurysm presenting as an inferior ST elevation myocardial ischaemia

Year: 2025

Type: article

Abstract: 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.

Source: European Heart Journal - Case Reports

DOI: 10.1093/ehjcr/ytaf214

Authors: Rabea Shehadi, Robert Zukermann, Gil Gross, Sergey Yalonetsky

Institution: Rambam Health Care Campus

Language: English

Topic: Aortic aneurysm repair treatments

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $815