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BMJ Case Reports 2009; doi:10.1136/bcr.2006.104414
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The changing faces of aortic dissection: an unusual presentation mimicking pulmonary embolism

  1. P N Stougiannos,
  2. D Z Mytas,
  3. V N Pyrgakis
  1. drpavlos1968{at}yahoo.gr
  • Published 18 February 2009

A 71-year-old man was admitted owing to an episode of retrosternal chest pain. Based on ECG findings and minimal troponin elevation, the patient was initially treated as having an acute coronary syndrome, with subsequent clinical improvement. On the second day of hospitalisation, he complained of progressively worsening dyspnoea, and pulmonary embolism was clinically suspected.

Pulmonary perfusion …

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