• Internal medicine · Feb 2023

    Review Case Reports

    Subendocardial Ischemia Caused by Acute Severe Aortic Regurgitation Due to Aortic Root Dissection: A Case Report and Literature Review.

    • Daigo Hiraya, Akira Sato, Hiroaki Watabe, Tomoya Hoshi, and Masaki Ieda.
    • Department of Cardiology, Faculty of Medicine, University of Tsukuba, Japan.
    • Intern. Med. 2023 Feb 1; 62 (3): 405410405-410.

    AbstractElectrocardiogram (ECG) findings showing ST-segment depression in a wide range of leads and ST-segment elevation in aVR are found in patients with acute coronary syndrome with multivessel coronary lesions and left main trunk lesions. A 64-year-old man with a history of eosinophilic granulomatosis presented with chest pain and dyspnea. Although an ECG showed the above findings, he was diagnosed with acute severe aortic regurgitation (AR) complicating aortic root dissection and successfully underwent urgent Bentall operation. These ECG findings indicated that acute severe AR caused subendocardial ischemia.

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