Dissection or embolism.
Cardiac myxomas have a wide range of clinical presentations. The patient in this case presented with chest and back pain gradually radiating to her legs. ECG demonstrated an acute myocardial infarct. In cases of apparent aortic dissection, other disgnoses such as myxoma embolisation should be considered.
O'Sullivan
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Bristol and Weston Emergency Department, Bristol Royal Infirmary, Marlborough Street, Bristol BS2 8HW, UK. Iomhar.O'Sullivan@ubht.swest.nhs.uk
D000784:Aortic Dissection / Q000175:diagnosis* / Q000209:etiology; D001011:Aorta; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis* / Q000209:etiology; D003937:Diagnosis, Differential; D004617:Embolism / Q000175:diagnosis* / Q000209:etiology; D005260:Female; D006338:Heart Neoplasms / Q000150:complications* / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis / Q000209:etiology; D009232:Myxoma / Q000150:complications* / Q000601:surgery