RT Journal Article
SR Electronic
T1 Myocardial ischaemia secondary to ruptured abdominal aortic aneurysm
JF BMJ Case Reports
JO BMJ Case Reports
FD BMJ Publishing Group Ltd
SP e248271
DO 10.1136/bcr-2021-248271
VO 15
IS 2
A1 Ben Li
A1 Vikramaditya Prabhudesai
A1 Mark Wheatcroft
A1 Mohammad Qadura
YR 2022
UL http://casereports.bmj.com/content/15/2/e248271.abstract
AB 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.