Horner's syndrome in a patient presenting with chest pain

Horner's syndrome in a patient presenting with chest pain

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-y...

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Veröffentlicht in:Netherlands journal of medicine 2015-07, Vol.73 (6), p.293-295
Hauptverfasser: van Bree, S H W, van Bree, M D R, Somsen, G A
Format: Artikel
Sprache:eng
Schlagworte:
Aged
Aneurysm, Dissecting - complications
Aneurysm, Dissecting - diagnosis
Angiography
Aortic Aneurysm, Thoracic - complications
Aortic Aneurysm, Thoracic - diagnosis
Chest Pain - diagnosis
Chest Pain - etiology
Fatal Outcome
Horner Syndrome - complications
Horner Syndrome - diagnosis
Humans
Male
Tomography, X-Ray Computed
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Beschreibung
Zusammenfassung: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.
ISSN:1872-9061