title: Spontaneous coronary artery dissection mimicking aortic dissection.
abstract: A 51-year-old woman suffered rapidly irreversible cardiogenic shock with left hemiparesis. Transesophageal echocardiography, which represents an essential imaging tool in the emergency room, ruled out aortic dissection involving branch vessels but did not allow an in vivo diagnosis of spontaneous coronary dissection. The in vivo diagnosis of spontaneous coronary dissection is rather difficult because of the dramatic clinical presentation and selective coronary angiography requirement.
authors.affiliation: Institute of Cardiology, University of Padua Medical School, Padua, Italy.
authors.forename: Alessandro
authors.initials: A
authors.lastname: Daniotti
authors.forename: Gaetano
authors.initials: G
authors.lastname: Povolo
authors.forename: Agata
authors.initials: A
authors.lastname: Barchitta
authors.forename: Aierken
authors.initials: A
authors.lastname: Abudureheman
authors.forename: Paolo
authors.initials: P
authors.lastname: Cardaioli
authors.forename: Cristina
authors.initials: C
authors.lastname: Basso
mesh_terms: D000784:Aortic Dissection / Q000473:pathology* / Q000503:physiopathology; D001014:Aortic Aneurysm / Q000473:pathology* / Q000503:physiopathology; D003331:Coronary Vessels / Q000473:pathology*; D003937:Diagnosis, Differential; D004452:Echocardiography / Q000379:methods; D004562:Electrocardiography; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008875:Middle Aged