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Middle aortic syndrome: high index of suspicion should be kept in mind
  1. Sofia Branco Ribeiro1,
  2. Isabel Jesus Pereira2,
  3. Daniel Nuñez1
  1. 1Emergency and Intensive Care Department, Hospital de Faro, Centro Hospitalar Universitário do Algarve, Faro, Portugal
  2. 2CriticalMed Investigator, CINTESIS - Center for Health Technology and Services Research, Faculty of Medicine, University of Porto, Porto, Portugal
  1. Correspondence to MD Sofia Branco Ribeiro, Emergency and Intensive Care Department, Hospital de Faro, Centro Hospitalar Universitário do Algarve, 8000-386 Faro, Portugal; apribeiro{at}chua.min-saude.pt

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A woman in her early 50s with a history of poorly controlled hypertension was admitted to the intensive care unit for an electrical storm complicating an anterolateral myocardial infarction. After admission, she went into a cardiogenic shock refractory to medical treatment and was proposed for mechanical circulatory support. However, her clinical condition suddenly deteriorated, with severe hypotension, absent femoral pulses and a significant fall of haemoglobin without visible blood loss. …

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Footnotes

  • Contributors SBR took the lead in writing the manuscript and worked on the figures. All authors provided critical feedback and helped shape the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

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

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