Body Region: Cardiovascular
Author: Jean-François Paul, MD, Plessis-Robinson, France
1. Patient presentation
- A 45-year-old white woman, with a history of hypertension, was admitted for the recent onset of
severe chest pain.
- On physical examination, her pulse was 90 bpm and blood pressure was 160/100 mmHg in both
arms. No murmur was heard.
- ECG revealed sinus tachycardia without signs of myocardial ischemia.
- Cardiac troponins were normal.
- Transthoracic echocardiography indicated normal left ventricular systolic function, without
wall motion abnormalities, but gave evidence of mild aortic regurgitation and a dilation of the
- ECG-gated contrast-enhanced cardiac CT was performed.