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Aortic dissection associated with right pulmonary artery compression
  1. Yecheng Liu1,
  2. Shigong Guo2,
  3. Huadong Zhu1,
  4. Zhong Wang1,
  5. Xuezhong Yu1
  1. 1Department of Emergency Medicine, Peking Union Medical College Hospital, Beijing, China
  2. 2Wexham Park Hospital, Slough, Berkshire, UK
  1. Correspondence to Dr Xuezhong Yu, Department of Emergency Medicine, Peking Union Medical College Hospital, Dongdan North Street, Beijing, Beijing 100730, China; dryxz{at}

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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 …

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  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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