Acute Aortic Dissection Masquerading as Acute Pericarditis.
acute aortic dissection
misdiagnosis
pericarditis
tamponade
Journal
Internal medicine (Tokyo, Japan)
ISSN: 1349-7235
Titre abrégé: Intern Med
Pays: Japan
ID NLM: 9204241
Informations de publication
Date de publication:
15 Aug 2020
15 Aug 2020
Historique:
pubmed:
26
5
2020
medline:
29
12
2020
entrez:
26
5
2020
Statut:
ppublish
Résumé
We herein report 3 cases of acute aortic dissection (AAD) in which the initial 12-lead electrocardiogram showed typical ST elevation consistent with acute pericarditis. All patients exhibited small pericardial effusion but did not suffer from rupture into the pericardium or clinical tamponade. Slow leakage or exudate stemming from the dissecting hematoma appeared to have caused inflammation, resulting in pericarditis. Therefore, we highlight the fact that AAD may masquerade as acute pericarditis. Physicians should be aware of the possibility of type A AAD as an important underlying condition, since the early diagnosis and subsequent surgical treatment may save patients' lives.
Identifiants
pubmed: 32448833
doi: 10.2169/internalmedicine.4430-20
pmc: PMC7492124
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
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