Obstruction of the right coronary artery ostium due to acute aortic dissection

被引：3

作者：

Patane, Salvatore ^{[3
]}

Marte, Filippo ^{[3
]}

Lentini, Salvatore ^{[2
]}

Monaco, Francesco ^{[2
]}

Perrotta, Sossio ^{[2
]}

Di Bella, Gianluca

Patane, Francesco ^{[1
]}

Gaeta, Roberto ^{[2
]}

机构：

[1] San Giovanni Battista Hosp, Dept Cardiac Surg, Turin, Italy

[2] Univ Messina, Clin & Expt Dept Med & Pharmacol, Cardiac Surg Div, I-98100 Messina, Italy

[3] Cardiol Nuovo Presidio Osped Cutroni Zodda Barcel, I-98051 Messina, Italy

来源：

INTERNATIONAL JOURNAL OF CARDIOLOGY | 2009年 / 133卷 / 01期

关键词：

Acute aortic dissection; Ascending aortic aneurysm; Chest pain;

D O I：

10.1016/j.ijcard.2007.08.140

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Acute aortic dissection presents with a wide range of manifestations and it is frequently confused with acute coronary syndrome, leading to delayed diagnosis and inappropriate treatment. A high clinical index of suspicion is necessary. Longstanding arterial hypertension, elevated D-dimer levels and new onset atypical chest pain can help the clinician to perform a difficult differential diagnosis. We present a case of acute aortic dissection in a 68-year-old Italian woman with longstanding arterial hypertension, unknown ascending aortic aneurysm, normal D-dimer levels, new onset atypical chest pain and electrocardiographic images mimicking acute coronary syndrome. Also this case focuses attention on the importance of a correct evaluation of new onset chest pain. (c) 2007 Elsevier Ireland Ltd. All rights reserved.

引用

页码：135 / 137

页数：3

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