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Horner's syndrome in a patient presenting with chest pain
S H W van Bree1, M D R van Bree, G A Somsen
1Department of Internal Medicine, Academic Medical Centre, Amsterdam, the Netherlands.
Abstract:
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.
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