Suggestion to list acute aortic dissection as a possible cause of type 2 myocardial infarction (according to the universal definition)

Aortic dissection with concomitant acute myocardial infarction: From diagnosis to management

“…For this reason, it has been suggested that AD should be listed as a possible cause of type 2 AMI. [15]…”

A case report of acute myocardial infarction concomitant with Standford type B aortic dissection

“…17,18 Other mechanisms that include coronary spasm, 15 avulsion and ostium obstruction by intimal flap. 19 Our case was a NSTEMI concomitant with type B AD that is rarely seen in previous reports. And it can't be explained by the above direct mechanisms.…”

Acute Stanford type B aortic dissection occurred simultaneously with acute myocardial infarction

“…It is estimated that around 3% to 7% of AAD is concurrent with AMI [2,3], and mostly occurred in Stanford type A dissection. In type A AAD, the false lumen may extend proximally towards the coronary ostia producing various mechanisms of coronary occlusion, such as compression the proximal coronary by false lumen, ostium obstruction by intimal flap, dissection, avulsion and coronary artery spasm [4,5]. However, it cannot be explained by such mechanisms in our case which is infrequent seen in former reports.…”

“…If the patient has a past history of coronary artery disease (CAD), these potential factors may result in plaque rupture or coronary vasospasm and then cause AMI. For this patient, according to the initial ECG findings, a history of CAD cannot be excluded.AAD may mimic AMI due to similarities in risk factors and clinical presentations [5]. It is very important to suspect and diagnose type B AD occurred simultaneously with AMI, as the consequences of misdiagnosis or delay in diagnosis can be catastrophic.…”

“…AAD may mimic AMI due to similarities in risk factors and clinical presentations [5]. It is very important to suspect and diagnose type B AD occurred simultaneously with AMI, as the consequences of misdiagnosis or delay in diagnosis can be catastrophic.…”