Subendocardial Ischemia Caused by Acute Severe Aortic Regurgitation Due to Aortic Root Dissection: A Case Report and Literature Review
- Resource Type
- Journal Article
- Authors
- Akira Sato; Daigo Hiraya; Hiroaki Watabe; Masaki Ieda; Tomoya Hoshi
- Source
- Internal Medicine. 2023, 62(3):405
- Subject
- acute severe aortic regurgitation
aortic root dissection
subendocardial ischemia
- Language
- English
- ISSN
- 0918-2918
1349-7235
Electrocardiogram (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.