Intractable supraventricular tachycardia as first presentation of thoracic aortic dissection: case report.
A patient presented with palpitations at the emergency department 3 days after a percutaneous coronary intervention complicated by dissection of the left anterior descending and circumflex coronary arteries. Physical examination revealed a high pulse rate and low blood pressure and the electrocardiogram demonstrated atrioventricular nodal re-entry tachycardia. This arrhythmia was eventually terminated by electrical cardioversion. Echocardiography demonstrated moderate aortic regurgitation and subsequent computed tomography showed a large Stanford type A aortic dissection. The patient was successfully operated and discharged 10 days after surgery.
den Uil
Corstiaan A
CA
Caliskan
Kadir
K
Bekkers
Jos A
JA
D000368:Aged; D000784:Aortic Dissection / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation; D004562:Electrocardiography; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D013617:Tachycardia, Supraventricular / Q000209:etiology* / Q000503:physiopathology; D014057:Tomography, X-Ray Computed