TY - JOUR T1 - Myocardial ischaemia secondary to ruptured abdominal aortic aneurysm JF - BMJ Case Reports JO - BMJ Case Reports DO - 10.1136/bcr-2021-248271 VL - 15 IS - 2 SP - e248271 AU - Ben Li AU - Vikramaditya Prabhudesai AU - Mark Wheatcroft AU - Mohammad Qadura Y1 - 2022/02/01 UR - http://casereports.bmj.com/content/15/2/e248271.abstract N2 - 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. ER -