title: Horner's syndrome in a patient presenting with chest pain.
abstract: An altered mental status and peripheral nerve dysfunction are alarming signs in a patient presenting with chest pain. If complicated by acute myocardial infarction, this raises the suspicion of aortic dissection and warrants immediate CT angiography. We report a dramatic case of chest pain in a 79-year-old man with somnolence and Horner's syndrome, subsequently complicated by myocardial infarction. Autopsy demonstrated a type A aortic dissection involving the carotid arteries and the right coronary artery.
authors.affiliation: Department of Internal Medicine, Academic Medical Centre, Amsterdam, the Netherlands.
authors.forename: S H W
authors.initials: SH
authors.lastname: van Bree
authors.forename: M D R
authors.initials: MD
authors.lastname: van Bree
authors.forename: G A
authors.initials: GA
authors.lastname: Somsen
mesh_terms: D000368:Aged; D000784:Aortic Dissection / Q000150:complications* / Q000175:diagnosis; D000792:Angiography; D017545:Aortic Aneurysm, Thoracic / Q000150:complications* / Q000175:diagnosis; D002637:Chest Pain / Q000175:diagnosis / Q000209:etiology*; D017809:Fatal Outcome; D006732:Horner Syndrome / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed