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Case Reports
. 2022 Feb 3;15(2):e248271.
doi: 10.1136/bcr-2021-248271.

Myocardial ischaemia secondary to ruptured abdominal aortic aneurysm

Ben Li  1 , Vikramaditya Prabhudesai  2 , Mark Wheatcroft  1 , Mohammad Qadura  3   4
Affiliations
Case Reports

Myocardial ischaemia secondary to ruptured abdominal aortic aneurysm

Ben Li et al. BMJ Case Rep. .

Abstract

A 63-year-old man presented to an outside hospital with presyncope, back pain, hypotension and inferior ST segment elevations. He received aspirin, ticagrelor and heparin and was transferred to our institution as a Code STEMI (ST-segment elevation myocardial infarction). A coronary angiogram demonstrated multivessel disease but no occlusive lesion for acute intervention. The following day, he developed worsening abdominal/back pain. A CT angiogram (CTA) showed a ruptured infrarenal abdominal aortic aneurysm. He underwent urgent percutaneous endovascular aneurysm repair. CTA on postoperative day (POD) 10 demonstrated a patent stent graft with no endoleak. The patient was discharged on POD 12 in stable condition.

Keywords: healthcare improvement and patient safety; interventional cardiology; interventional radiology; ischaemic heart disease; vascular surgery.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Coronary angiogram. Multivessel coronary artery disease with stenoses of the (A) distal right coronary artery (70%) and (B) left main coronary artery (80%) and left anterior descending artery (90%) and with no occlusive lesion.
Figure 2
Figure 2
Preoperative CT angiogram. Ruptured abdominal aortic aneurysm with contrast extravasation and large retroperitoneal haematoma: (A) axial view and (B) coronal view.
Figure 3
Figure 3
Postoperative day 10 CT angiogram. Patent aortic stent graft with exclusion of the aneurysm sac and no endoleak: (A) coronal view and (B) 3D reconstruction.
See this image and copyright information in PMC

References

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