Aortic Aneurysm Mimicking Inferior ST-Elevation Myocardial Infarction: A Case Report

Here, we report a rare case of a 22-year-old female presenting with recurrent chest pain mimicking inferior ST-elevation myocardial infarction (STEMI) but ultimately attributed to an aortic aneurysm. Despite facing initial challenges in diagnosis, such as normal troponin levels and temporary electro...

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Bibliographic Details
Published inJIM - high impact case reports Vol. 12; p. 23247096241264634
Main Authors Alhatemi, Ahmed Qasim Mohammed, Aziz, Ezzat Mohammed Hussain, Al-Yaseen, Amjed Hussein Alwan, Hashim, Hashim Talib, Abduljabbar, Zaid Haitham, Sultan, Salwan Qahtan, Abdulhussain, Tiba Khalid, Abdulhussain, Rand
Format Journal Article
LanguageEnglish
Published United States SAGE Publications 01.01.2024
SAGE Publishing
Subjects
Aortic Aneurysm - complications
Aortic Aneurysm - diagnosis
Aortic Aneurysm - diagnostic imaging
Aortic Aneurysm - surgery
Case Report
Chest Pain - etiology
Coronary Angiography
Diagnosis, Differential
Electrocardiography
Female
Humans
ST Elevation Myocardial Infarction - diagnosis
Young Adult
cardiothoracic surgery
radiology and imaging
emergency medicine
cardiology
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Summary:Here, we report a rare case of a 22-year-old female presenting with recurrent chest pain mimicking inferior ST-elevation myocardial infarction (STEMI) but ultimately attributed to an aortic aneurysm. Despite facing initial challenges in diagnosis, such as normal troponin levels and temporary electrocardiogram (ECG) changes, advanced imaging showed a large mass in the chest pressing on the right coronary artery. Prompt multidisciplinary intervention, including surgical resection of the aneurysm, led to successful management and improved outcomes. This case highlights the importance of considering unusual etiologies in atypical presentations of myocardial infarction, necessitating comprehensive evaluation and collaboration among various specialties for optimal patient care.
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ISSN:2324-7096
2324-7096
DOI:10.1177/23247096241264634