Horner's syndrome in a patient presenting with chest pain.

Autor: van Bree SH; Department of Internal Medicine, Academic Medical Centre, Amsterdam, the Netherlands., van Bree MD, Somsen GA
Jazyk: angličtina
Zdroj: The Netherlands journal of medicine [Neth J Med] 2015 Jul; Vol. 73 (6), pp. 293-5.
Abstrakt: 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.
Databáze: MEDLINE