[Coronary insufficiency in type II aortic dissection].
After coronary sclerosis, aortic dissection represents an important differential diagnosis in the evaluation of acute thoracic pain. We report on a 55-year-old patient with aortic dissection, type II, in whom the diastolic collapse of the true aortic lumen was verified by angiography and transesophageal echocardiography. The collapse led to a temporary perfusion deficit of the left coronary artery with clinical symptoms and ECG changes. Clinical symptoms, additional diagnostic procedures and follow-up of this patient, as well as the value of transesophageal echocardiography, are presented.
II. Medizinische Klinik und Poliklinik, Johannes-Gutenberg-Universität, Mainz, FRG.
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Zotz
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Stern
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Mohr-Kahaly
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Erbel
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Henrichs
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Oelert
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Meyer
D000784:Aortic Dissection / Q000473:pathology*; D001013:Aorta, Thoracic / Q000473:pathology; D001014:Aortic Aneurysm / Q000473:pathology*; D006328:Cardiac Catheterization; D003326:Coronary Circulation; D003327:Coronary Disease / Q000473:pathology*; D004452:Echocardiography; D004562:Electrocardiography; D005260:Female; D006333:Heart Failure / Q000473:pathology*; D006801:Humans; D008875:Middle Aged
Koronarinsuffizienz bei Aortendissektion Typ II.