• Int. J. Cardiol. · Mar 2009

    Letter Case Reports

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

    • Salvatore Patanè, Filippo Marte, Salvatore Lentini, Francesco Monaco, Sossio Perrotta, Gianluca Di Bella, Francesco Patanè, and Roberto Gaeta.
    • Int. J. Cardiol. 2009 Mar 20;133(1):135-7.

    AbstractAcute 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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