Intractable supraventricular tachycardia as first presentation of thoracic aortic dissection. Case report
A patient presented with palpitations at the emergency department 3 days after a percutaneous coronary intervention complicated by dissection of the left anterior descending and circumflex coronary arteries. Physical examination revealed a high pulse rate and low blood pressure and the electrocardiogram demonstrated atrioventricular nodal re-entry tachycardia. This arrhythmia was eventually terminated by electrical cardioversion. Echocardiography demonstrated moderate aortic regurgitation and subsequent computed tomography showed a large Stanford type A aortic dissection. The patient was successfully operated and discharged 10 days after surgery.
|Keywords||Aorta, Aortic dissection, Aortic operation, Arrhythmia|
|Persistent URL||dx.doi.org/10.1016/j.ijcard.2008.12.050, hdl.handle.net/1765/27008|
den Uil, C.A., Caliskan, K., & Bekkers, J.A.. (2009). Intractable supraventricular tachycardia as first presentation of thoracic aortic dissection. Case report. International Journal of Cardiology. doi:10.1016/j.ijcard.2008.12.050