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
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
收藏
页码:135 / 137
页数:3
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