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Emergency diseases that can lead to sudden cardiac death with acute severe chest pain include acute myocardial infarction and aortic dissection. These two diseases show high mortality rates, but they have very different initial treatments, therefore, early diagnosis and start of treatment are very important. However, rarely, acute myocardial infarction could be complicated by aortic dissection. We report a case of a 68-year-old woman with anterior chest pain who was finally diagnosed with aortic dissection on chest computed tomography after inevitable percutaneous coronary intervention under the diagnosis of acute myocardial infarction.

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