Article

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

Cardiologia Nuovo Presidio Ospedaliero Cutroni Zodda-Barcellona P.d.G(Me) AUSL5 Messina, Italy.
International journal of cardiology (impact factor: 7.08). 02/2008; 133(1):135-7. DOI:10.1016/j.ijcard.2007.08.140 pp.135-7
Source: PubMed

ABSTRACT 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.

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Keywords

68-year-old Italian woman
 
acute aortic dissection
 
Acute aortic dissection presents
 
acute coronary syndrome
 
aortic aneurysm
 
clinical index
 
D-dimer levels
 
difficult differential diagnosis
 
electrocardiographic images mimicking acute coronary syndrome
 
Longstanding arterial hypertension
 
manifestations
 
new onset atypical chest pain
 
new onset chest pain
 
normal D-dimer levels