PMID- 21864356
OWN - NLM
STAT- MEDLINE
DCOM- 20111219
LR  - 20240417
IS  - 1749-8090 (Electronic)
IS  - 1749-8090 (Linking)
VI  - 6
DP  - 2011 Aug 24
TI  - A successfully thrombolysed acute inferior myocardial infarction due to type A 
      aortic dissection with lethal consequences: the importance of early cardiac 
      echocardiography.
PG  - 101
LID - 10.1186/1749-8090-6-101 [doi]
AB  - Thrombolysis, a standard therapy for ST elevation myocardial infarction (STEMI) 
      in non-PCI-capable hospitals, may be catastrophic for patients with aortic 
      dissection leading to further expansion, rupture and uncontrolled bleeding. 
      Stanford type A aortic dissection, rarely may mimic myocardial infarction. We 
      report a case of a patient with an inferior STEMI thrombolysed with tenecteplase 
      and followed by clinical and electrocardiographic evidence of successful 
      reperfusion, which was found later to be a lethal acute aortic dissection. 
      Prognostic implications of early diagnosis applying transthoracic 
      echocardiography (TTE) are described.
FAU - Tsigkas, Grigorios
AU  - Tsigkas G
AD  - Department of Cardiology, Patras University School of Medicine, Patras, Greece.
FAU - Kasimis, Georgios
AU  - Kasimis G
FAU - Theodoropoulos, Konstantinos
AU  - Theodoropoulos K
FAU - Chouchoulis, Konstantinos
AU  - Chouchoulis K
FAU - Baikoussis, Nikolaos G
AU  - Baikoussis NG
FAU - Apostolakis, Efstratios
AU  - Apostolakis E
FAU - Bousoula, Eleni
AU  - Bousoula E
FAU - Moulias, Athanasios
AU  - Moulias A
FAU - Alexopoulos, Dimitrios
AU  - Alexopoulos D
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20110824
PL  - England
TA  - J Cardiothorac Surg
JT  - Journal of cardiothoracic surgery
JID - 101265113
RN  - 0 (Fibrinolytic Agents)
RN  - EC 3.4.21.68 (Tissue Plasminogen Activator)
RN  - WGD229O42W (Tenecteplase)
SB  - IM
MH  - Aortic Dissection/*complications
MH  - Aortic Aneurysm/*complications
MH  - Echocardiography
MH  - Female
MH  - Fibrinolytic Agents/therapeutic use
MH  - Humans
MH  - Inferior Wall Myocardial Infarction/diagnostic imaging/*drug therapy/etiology
MH  - Middle Aged
MH  - Prognosis
MH  - Tenecteplase
MH  - Thrombolytic Therapy
MH  - Tissue Plasminogen Activator/therapeutic use
PMC - PMC3174121
EDAT- 2011/08/26 06:00
MHDA- 2011/12/20 06:00
PMCR- 2011/08/24
CRDT- 2011/08/26 06:00
PHST- 2011/03/27 00:00 [received]
PHST- 2011/08/24 00:00 [accepted]
PHST- 2011/08/26 06:00 [entrez]
PHST- 2011/08/26 06:00 [pubmed]
PHST- 2011/12/20 06:00 [medline]
PHST- 2011/08/24 00:00 [pmc-release]
AID - 1749-8090-6-101 [pii]
AID - 10.1186/1749-8090-6-101 [doi]
PST - epublish
SO  - J Cardiothorac Surg. 2011 Aug 24;6:101. doi: 10.1186/1749-8090-6-101.