Acute thoracic pain

Body Region: Cardiovascular
Author: Jean-François Paul, MD, Plessis-Robinson, France

1. Patient presentation
2. CT Images
3. CT Findings
4. Diagnosis
5. References

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
    ascending aorta.

  • ECG-gated contrast-enhanced cardiac CT was performed.

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