Article Text

Acute discrete dissection of the ascending aorta
  1. F Chirillo,
  2. L Salvador,
  3. F Bacchion
  1. Ca' Foncello Hospital, Treviso, Italy
  1. Ca' Foncello Hospital, Treviso, Italy; fchirillo{at}

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A 49-year-old man with a history of hypertension presented to the emergency department because of chest pain and syncope. Acute coronary syndrome was suspected; both ECG and laboratory test were negative. Echocardiography demonstrated a dilated ascending aorta (56 mm), and a mildly regurgitant bicuspidal aortic valve; neither left ventricular wall motion abnormalities nor pericardial effusion were detected. Aortic dissection was suspected and the patient underwent transoesophageal echocardiography. The …

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