Abstract
Inferior ST-elevation myocardial infarction (STEMI) secondary to an
aortic mass presents a rare and complex clinical scenario requiring
heightened diagnostic vigilance. We report a case of a 22-year-old
female presenting with recurrent chest pain, ultimately diagnosed with
inferior STEMI secondary to an aortic mass compressing the coronary
arteries. Advanced imaging modalities and a multidisciplinary approach
were crucial for accurate diagnosis and optimal management. Surgical
intervention to address the aortic mass, coupled with myocardial
reperfusion strategies, led to favourable outcomes. This case
underscores the importance of recognizing the intricate interplay
between cardiac and vascular pathologies to guide tailored therapeutic
interventions and optimize patient care.