title: [Acute jaw-thoracic pain and syncope in a 41-year-old man].
abstract: A 41-year-old physically active man with no significant past medical history presented with sudden thoracic pain. The patient was referred to the next tertiary care hospital. A CT scan showed an ectasia of the ascending aorta with irregularities of the aortic wall without dissection. Despite initial refusal, the patient was referred to a university hospital with experience in aortic surgery. A triphase ECG-synchronized cardiothoracic flash protocol performed on a 256 line CT scanner confirmed an aortic intramural hematoma and a covered aortic perforation. Shortly afterwards the patient collapsed and had to be resuscitated.
authors.affiliation: Herzchirurgische Klinik und Poliklinik, Klinikum der Universität München (LMU), Marchioninistr. 15, 81377, München, Deutschland, sabina.guenther@med.uni-muenchen.de.
authors.forename: S
authors.initials: S
authors.lastname: Günther
authors.forename: H
authors.initials: H
authors.lastname: Mudra
authors.forename: A
authors.initials: A
authors.lastname: Reichelt
authors.forename: N
authors.initials: N
authors.lastname: Khaladj
authors.forename: C
authors.initials: C
authors.lastname: Hagl
authors.forename: M
authors.initials: M
authors.lastname: Pichlmaier
mesh_terms: D000328:Adult; D001014:Aortic Aneurysm / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging; D001019:Aortic Rupture / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging; D002637:Chest Pain / Q000175:diagnosis / Q000209:etiology* / Q000517:prevention & control; D003937:Diagnosis, Differential; D005157:Facial Pain / Q000175:diagnosis / Q000209:etiology* / Q000517:prevention & control; D006338:Heart Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging; D006406:Hematoma / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D011859:Radiography; D013575:Syncope / Q000175:diagnosis / Q000209:etiology* / Q000517:prevention & control