Aortic dissection associated with right pulmonary artery compression
- 1Department of Emergency Medicine, Peking Union Medical College Hospital, Beijing, China
- 2Wexham Park Hospital, Slough, Berkshire, UK
- Correspondence to Dr Xuezhong Yu, Department of Emergency Medicine, Peking Union Medical College Hospital, Dongdan North Street, Beijing, Beijing 100730, China;
Contributors YL: drafted the manuscript. SG: analysed the data. HZ: data collection. ZW: data collection. XY: quality control.
A 48-year-old man presented with a 3-day history of increasing central chest pain and dyspnoea. He had a 5-year history of hypertension that was not controlled by any medication. On examination, blood pressure was 201/125 mm Hg, oxygen saturation was 90% on air, heart sounds were normal, and the chest was clear on auscultation. ECG showed extensive T wave inversion in the anterior leads. Blood tests revealed the …