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BMJ Case Rep. 2010; 2010: bcr08.2009.2155.
Published online 2010 March 4. doi:  10.1136/bcr.08.2009.2155
PMCID: PMC3028170
Learning from errors

Acute aortic dissection mimics acute inferoposterior wall myocardial infarction in a Marfan syndrome patient


A 30-year old man with acute chest pain was diagnosed with acute inferoposterior wall myocardial infarction following electrocardiography. After a failed coronary angiography, an echocardiogram revealed an aortic intimal flap after which acute aortic dissection was diagnosed. The patient received a successful Bentall operation without immediate complication. Retrospective examination then confirmed the diagnosis of Marfan syndrome. This case demonstrates acute aortic dissection may mimic acute myocardial infarction.

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