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Cath-Lab Clues to Type A Aortic Dissection Presenting as Acute Myocardial Infarction

Year: 2026

Type: article

Abstract: IMAGE(S): Emergency coronary angiography and computed tomography angiography showing catheterization laboratory (Cath-Lab) clues to type A aortic dissection presenting as acute myocardial infarction. CASE SUMMARY: A 67-year-old man underwent emergency angiography for anterior ST-segment elevation. Difficult coronary engagement, thin strip-like left coronary narrowing, and marked catheter swing prompted reassessment. Computed tomography angiography confirmed type A aortic dissection involving the left main ostium, and unnecessary percutaneous coronary intervention was avoided. Five recurring angiographic warning clues are summarized. TAKE-HOME MESSAGES: These 5 practical Cath-Lab clues would help you away from emergency type A aortic dissection trap. Timely recognition of Cath-Lab clues and pause; activate the aortic surgical team.

Source: JACC Case Reports

DOI: 10.1016/j.jaccas.2026.109923

Authors: Yingdong Wang, Yuhe Sheng, Yaling Han, Xiaozeng Wang, Bin Wang

Institutions: Lanzhou University, General Hospital of Shenyang Military Region

Language: English

Topic: Aortic Disease and Treatment Approaches

Subfield: Cardiology and Cardiovascular Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $850