Article Text

Learning from errors
Acute aortic dissection mimics acute inferoposterior wall myocardial infarction in a Marfan syndrome patient
  1. Prasit Phowthongkum
  1. King Chulalongkorn University, Faculty of Medicine, Chulalongkorn University, Rama IV Road, Pathumwan, Bangkok, 10330, Thailand
  1. Correspondence to Prasit Phowthongkum, praspowt{at}


A 30-year old man with acute chest pain was diagnosed with acute inferoposterior wall myocardial infarction following electrocardiography. After a failed coronary angiography, an echocardiogram revealed an aortic intimal flap after which acute aortic dissection was diagnosed. The patient received a successful Bentall operation without immediate complication. Retrospective examination then confirmed the diagnosis of Marfan syndrome. This case demonstrates acute aortic dissection may mimic acute myocardial infarction.

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  • Competing interests: None.

  • Patient consent: Patient/guardian consent was obtained for publication.

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