Paraparesis after Primary Percutaneous Coronary Intervention for ST-segment Elevation Myocardial Infarction: Combined Uncommon Complications of Acute Aortic Syndrome in a Patient

Jong-Hwa Ahn; Jeong Rang Park; Jin-Sin Koh; Young Min Choi; Jung Woo Choi; Tae Won Lee; Young Ran Kang; Sung Eun Park; Jin-Yong Hwang

doi:10.2169/internalmedicine.54.4508

CASE REPORTS

Paraparesis after Primary Percutaneous Coronary Intervention for ST-segment Elevation Myocardial Infarction: Combined Uncommon Complications of Acute Aortic Syndrome in a Patient

Jong-Hwa Ahn, Jeong Rang Park, Jin-Sin Koh, Young Min Choi, Jung Woo Choi, Tae Won Lee, Young Ran Kang, Sung Eun Park, Jin-Yong Hwang

Author information

Jong-Hwa Ahn
Department of Internal Medicine, Gyeongsang National University Hospital, Korea
Jeong Rang Park
Department of Internal Medicine, Gyeongsang National University Hospital, Korea
Jin-Sin Koh
Department of Internal Medicine, Gyeongsang National University Hospital, Korea
Young Min Choi
Department of Internal Medicine, Gyeongsang National University Hospital, Korea
Jung Woo Choi
Department of Internal Medicine, Gyeongsang National University Hospital, Korea
Tae Won Lee
Department of Internal Medicine, Gyeongsang National University Hospital, Korea
Young Ran Kang
Department of Internal Medicine, Gyeongsang National University Hospital, Korea
Sung Eun Park
Department of Radiology, Gyeongsang National University Hospital, Korea
Jin-Yong Hwang
Department of Internal Medicine, Gyeongsang National University Hospital, Korea

Keywords: aortic dissection, aortic intramural hematoma, myocardial infarction, paraplegia

JOURNAL OPEN ACCESS

2015 Volume 54 Issue 17 Pages 2191-2195

DOI https://doi.org/10.2169/internalmedicine.54.4508

Details

Abstract

Acute aortic syndrome complicated by both ST-segment elevation myocardial infarction (STEMI) and spinal ischemia is exceedingly rare. We herein report the case of a 66-year-old man who presented with paraparesis after primary percutaneous coronary intervention for STEMI. He was found to have an intramural hematoma of the ascending aorta and a severe dissection in the descending aorta, which led to both STEMI and paraparesis.

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