Right coronary artery occlusion after acute proximal dissection (hematoma)

Right coronary artery occlusion after acute proximal dissection (hematoma)

A known hypertensive presented to the hospital with sudden onset of chest pain and shock. ECG, cardiac enzymes, aortogram and echocardiogram were normal. Hemodynamic monitoring and radionucleotide angiogram demonstrated a severely dyskinetic right ventricle. Autopsy revealed proximal aortic dissecti...

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Veröffentlicht in:Critical care medicine 1983-07, Vol.11 (7), p.574-575
Hauptverfasser: PAIDIPATY, BUTCHI BABU, HUSAIN, MUJTABA, PURI, VINOD K
Format: Artikel
Sprache:eng
Schlagworte:
Acute Disease
Aneurysm, Dissecting - complications
Aneurysm, Dissecting - pathology
Aneurysm, Dissecting - physiopathology
Aortic Aneurysm - complications
Constriction, Pathologic
Coronary Disease - etiology
Coronary Vessels - diagnostic imaging
Heart Ventricles - physiopathology
Hematoma - complications
Hemodynamics
Humans
Male
Middle Aged
Radionuclide Imaging
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Beschreibung
Zusammenfassung:A known hypertensive presented to the hospital with sudden onset of chest pain and shock. ECG, cardiac enzymes, aortogram and echocardiogram were normal. Hemodynamic monitoring and radionucleotide angiogram demonstrated a severely dyskinetic right ventricle. Autopsy revealed proximal aortic dissection with extramural compression of right coronary artery, resulting in right ventricular dysfunction.
ISSN:0090-3493
1530-0293
DOI:10.1097/00003246-198307000-00019