Paraparesis after Primary Percutaneous Coronary Intervention for ST-segment Elevation Myocardial Infarction: Combined Uncommon Complications of Acute Aortic Syndrome in a Patient

• Published in: Internal Medicine Vol. 54; no. 17; pp. 2191 - 2195
• Main Authors: Ahn, Jong-Hwa, Park, Jeong Rang, Koh, Jin-Sin, Choi, Young Min, Choi, Jung Woo, Lee, Tae Won, Kang, Young Ran, Park, Sung Eun, Hwang, Jin-Yong
• Format: Journal Article
• Language: English
• Published: Japan The Japanese Society of Internal Medicine 01.01.2015
• Subjects: Acute Disease; Aged; Angioplasty, Balloon, Coronary - adverse effects; Angioplasty, Balloon, Coronary - methods; Aorta - pathology; Aorta, Thoracic - pathology; Aortic Arch Syndromes - complications; Aortic Arch Syndromes - physiopathology; Aortic Arch Syndromes - therapy; aortic dissection; aortic intramural hematoma; Follow-Up Studies; Heart Conduction System - physiopathology; Humans; Ischemia - etiology; Magnetic Resonance Imaging; Male; myocardial infarction; Myocardial Infarction - physiopathology; Myocardial Infarction - therapy; Paraparesis - etiology; Paraparesis - pathology; Paraparesis - rehabilitation; paraplegia; Spine - blood supply; Treatment Outcome
• ISSN: 0918-2918; 1349-7235
• DOI: 10.2169/internalmedicine.54.4508

Acute aortic syndrome complicated by both ST-segment elevation myocardial infarction (STEMI) and spinal ischemia is exceedingly rare. We herein report the case of a 66-year-old man who presented with paraparesis after primary percutaneous coronary intervention for STEMI. He was found to have an intramural hematoma of the ascending aorta and a severe dissection in the descending aorta, which led to both STEMI and paraparesis.