Coronary artery aneurysm rupture mimicking dissection of the thoracic aorta.
Acute dissection of the ascending aorta may present with chest pain and haemopericardium. The following case illustrates an unusual differential diagnosis: rupture of a very large coronary artery aneurysm, diagnosed by transoesophageal echocardiography.
Department of Cardiovascular Medicine, University of Oxford, John Radcliffe Hospital, UK. keith.channon@cardiov.ox.ac.uk
K M
KM
Channon
A P
AP
Banning
C H
CH
Davies
Y
Y
Bashir
D000368:Aged; D000784:Aortic Dissection / Q000175:diagnosis*; D017542:Aneurysm, Ruptured / Q000175:diagnosis*; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis*; D003323:Coronary Aneurysm / Q000175:diagnosis*; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male