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Peer-reviewedCC BY 4.0JACC Case Reports

Cath-Lab Clues to Type A Aortic Dissection Presenting as Acute Myocardial Infarction

  • Yingdong Wang1,2
  • Yuhe Sheng1
  • Yaling Han1
  • Xiaozeng Wang1
  • Bin Wang1
  1. 1Department of Cardiology, General Hospital of Northern Theater Command, Shenyang, Liaoning, China
  2. 2Lanzhou University, Lanzhou, Gansu, China
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Abstract

Image(s): Emergency coronary angiography and computed tomography angiography showing catheterization laboratory (Cath-Lab) clues to type A aortic dissection presenting as acute myocardial infarction.

Case Summary: A 67-year-old man underwent emergency angiography for anterior ST-segment elevation. Difficult coronary engagement, thin strip-like left coronary narrowing, and marked catheter swing prompted reassessment. Computed tomography angiography confirmed type A aortic dissection involving the left main ostium, and unnecessary percutaneous coronary intervention was avoided. Five recurring angiographic warning clues are summarized.

Take-Home Messages: These 5 practical Cath-Lab clues would help you away from emergency type A aortic dissection trap. Timely recognition of Cath-Lab clues and pause; activate the aortic surgical team.

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Cite

BibTeXRIS
BibTeX
@article{wang2026cathlab,
  title = {{Cath-Lab Clues to Type A Aortic Dissection Presenting as Acute Myocardial Infarction}},
  author = {Yingdong Wang and Yuhe Sheng and Yaling Han and Xiaozeng Wang and Bin Wang},
  journal = {JACC Case Reports},
  year = {2026},
  month = aug,
  doi = {10.1016/j.jaccas.2026.109923},
  url = {https://doi.org/10.1016/j.jaccas.2026.109923},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Cath-Lab Clues to Type A Aortic Dissection Presenting as Acute Myocardial Infarction
AU  - Yingdong Wang
AU  - Yuhe Sheng
AU  - Yaling Han
AU  - Xiaozeng Wang
AU  - Bin Wang
PY  - 2026
DA  - 2026/08/22
JO  - JACC Case Reports
DO  - 10.1016/j.jaccas.2026.109923
UR  - https://doi.org/10.1016/j.jaccas.2026.109923
AB  - Image(s): Emergency coronary angiography and computed tomography angiography showing catheterization laboratory (Cath-Lab) clues to type A aortic dissection presenting as acute myocardial infarction.  Case Summary: A 67-year-old man underwent emergency angiography for anterior ST-segment elevation. Difficult coronary engagement, thin strip-like left coronary narrowing, and marked catheter swing prompted reassessment. Computed tomography angiography confirmed type A aortic dissection involving the left main ostium, and unnecessary percutaneous coronary intervention was avoided. Five recurring angiographic warning clues are summarized.  Take-Home Messages: These 5 practical Cath-Lab clues would help you away from emergency type A aortic dissection trap. Timely recognition of Cath-Lab clues and pause; activate the aortic surgical team.
SN  - 2666-0849
ER  -