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Spontaneous coronary artery dissection mimicking aortic dissection |
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| Authors: | Alessandro Daniotti Gaetano Povolo Agata Barchitta Aierken Abudureheman Paolo Cardaioli Cristina Basso |
| Affiliation: | aInstitute of Cardiology, University of Padua Medical School, Padua, Italy bDepartment of Emergency Care, Padua General Hospital, Padua, Italy cInstitute of Pathology, University of Padua Medical School, Padua, Italy |
| 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. |
| Keywords: | Spontaneous coronary artery dissection Transesophageal echocardiography Cardiogenic shock |
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