Spontaneous coronary artery dissection mimicking aortic dissection.
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.
Daniotti
Alessandro
A
Institute of Cardiology, University of Padua Medical School, Padua, Italy.
Povolo
Gaetano
G
Barchitta
Agata
A
Abudureheman
Aierken
A
Cardaioli
Paolo
P
Basso
Cristina
C
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