A 65-year-old Japanese man without medical history presented with sudden onset lower abdominal pain to our emergency department. Contrast-enhanced computed tomography (CT) revealed dissections of the inferior mesenteric artery and left renal artery with false lumen thrombosis without aortic dissection. He was immediately hospitalized, and conservative treatment was administered. However, on the third-day post-onset, the patient reported severe upper abdominal pain and contrast-enhanced CT showed a new superior mesenteric artery dissection. He continued to receive conservative treatment, and his symptoms improved. He was discharged after ten days of hospitalization.
A-54-year-old Japanese man with sudden chest discomfort visited our hospital. Electrocardiography revealed ST-segment elevation in lead a V R with a mirror image (Figure 1). Echocardiography showed no evidence of pericardial effusion, ascending aortic flap, or aortic regurgitation, but wall-motion impairment of the anterior
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