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  • Undetected acute aortic dissection in a patient referred for primary coronary angioplasty: a successful treatment of perioperative bleeding after abciximab administration

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Learning from errors
Undetected acute aortic dissection in a patient referred for primary coronary angioplasty: a successful treatment of perioperative bleeding after abciximab administration
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  1. A Arrivi1,
  2. G Tanzilli1,
  3. L Tritapepe2,
  4. G Mazzesi3,
  5. E Mangieri1
  1. 1Heart and Great Vessels “A. Reale” Second Division of Cardiology, Policlinico Umberto I, Sapienza University, Rome, Italy
  2. 2Heart and Great Vessels “A. Reale” Departmental Unit of Anesthesia and Intensive Care in Cardiac Surgery, Policlinico Umberto I, Sapienza University, Rome, Italy
  3. 3Heart and Great Vessels “A. Reale” Departmental Unit of Cardiac Surgery, Policlinico Umberto I, Sapienza University, Rome, Italy
  1. Correspondence to A Arrivi, alessio.arrivi{at}libero.it

Summary

The authors describe a case of an acute aortic dissection in a Japanese woman with long-lasting hypertension, who was referred to our cath lab for primary percutaneous coronary intervention because of an ECG feature of acute inferior myocardial infarction and systemic hypotension. A successful treatment of perioperative bleeding followed a missed diagnosis in the early stages and abciximab administration.

https://doi.org/10.1136/bcr.10.2010.3382

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    Footnotes

    • Competing interests None.

    • Patient consent Obtained.