Document Detail

Acute aortic dissection mimicking an acute coronary syndrome through occlusion of the right coronary artery.
MedLine Citation:
PMID:  18573974     Owner:  NLM     Status:  MEDLINE    
Occlusion of the right coronary artery (RCA) is an uncommon complication of type A aortic dissection. Aortic dissection and acute coronary syndrome (ACS) share a similar pathogenesis in atherosclerosis and hypertension. Consequently a patient with ischaemic risk factors presenting with chest pain and dynamic ECG change may well be incorrectly treated for ACS if careful attention is not paid to the presenting symptoms and signs. This case report describes a 59-year-old man who presented with chest pain, confusion and an ischaemic ECG and was initially treated for ACS. He subsequently deteriorated clinically and imaging confirmed type A aortic dissection complicated by RCA occlusion. Following emergent surgery with aortic root replacement and coronary artery bypass grafting he later made a good recovery.
S H Dorman; J Barry
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Emergency medicine journal : EMJ     Volume:  25     ISSN:  1472-0213     ISO Abbreviation:  Emerg Med J     Publication Date:  2008 Jul 
Date Detail:
Created Date:  2008-06-24     Completed Date:  2008-12-31     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100963089     Medline TA:  Emerg Med J     Country:  England    
Other Details:
Languages:  eng     Pagination:  462-3     Citation Subset:  IM    
United Bristol Healthcare Trust, Cardiology Department, Marlborough Street, Bristol BS1 3NU, UK.
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MeSH Terms
Acute Coronary Syndrome / diagnosis*
Acute Disease
Aneurysm, Dissecting / diagnosis*
Aortic Aneurysm / diagnosis*
Coronary Stenosis / diagnosis*
Diagnosis, Differential
Tomography, X-Ray Computed

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