HomeClinicalAcute thoracic pain

Acute thoracic pain

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

    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.