en ا گزارش مورد Case Report <p>ا</p> <table align="left" cellpadding="0" cellspacing="0" hspace="0" vspace="0"> <tbody> <tr> <td align="left"> <p>Aortic coarctation is a rare but dangerous condition. Presence of aortic dissection in addition to coarctation is significantly rarer and more life-threatening. Here, we present a case of acute inferior MI due to aortic dissection complicating a native aortic coarctation.</p> <p>A 17-year-old boy was admitted to our emergency department due to severe chest pain and loss of consciousness. His electrocardiogram showed ST elevations in Inferior leads proposing an inferior MI. Further evaluations revealed that the patient had been suffering from an underling aortic coarctation complicated by an acute aortic dissection.</p> <p>For every young person with symptoms of acute coronary syndrome, aortic dissection should be considered as a potentially fatal differential diagnosis. Coexistence of aortic coarctation, as an underling and exacerbating factor, should be assessed using appropriate imaging modalities whenever suspected.</p> </td> </tr> </tbody> </table> <div style="clear:both;"></div> ا Aortic Dissection, Aortic Coarctation, Acute Myocardial Infarction 60 62 http://jsurgery.bums.ac.ir/browse.php?a_code=A-11-35-1&slc_lang=en&sid=1 Mohsen Taghavi Shavazi taghavi.m82@gmail.com 10031947532846001415 10031947532846001415 No Cardiovascular Diseases Research Center, Birjand University of Medical Sciences, Birjand, Iran Cardiovascular Diseases Research Center, Birjand University of Medical Sciences, Birjand, Iran Ahmad Amouzeshi amouzeshiahmad@bums.ac.ir 10031947532846001416 10031947532846001416 No Cardiovascular Diseases Research Center, Birjand University of Medical Sciences, Birjand, Iran Cardiovascular Diseases Research Center, Birjand University of Medical Sciences, Birjand, Iran Toba Kazemi Drtooba.kazemi@gmail.com 10031947532846001417 10031947532846001417 Yes Cardiovascular Diseases Research Center, Birjand University of Medical Sciences, Birjand, Iran Cardiovascular Diseases Research Center, Birjand University of Medical Sciences, Birjand, Iran Alireza Ehsanbakhsh a.r.ehsanbakhsh@gmail.com 10031947532846001418 10031947532846001418 No Cardiovascular Diseases Research Center, Birjand University of Medical Sciences, Birjand, Iran Cardiovascular Diseases Research Center, Birjand University of Medical Sciences, Birjand, Iran