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10.1136/bcr-2016-214424

http://scihub22266oqcxt.onion/10.1136/bcr-2016-214424
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C4840701!4840701!27055462
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suck abstract from ncbi


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pmid27055462      BMJ+Case+Rep 2016 ; 2016 (ä): ä
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  • Spontaneous coronary artery rupture without a pericardial effusion: a diagnostic challenge #MMPMID27055462
  • Sevuk U; Ozyalcin S; Ayaz F; Kose K
  • BMJ Case Rep 2016[]; 2016 (ä): ä PMID27055462show ga
  • Spontaneous coronary artery rupture (CAR) is an extremely rare, life-threatening entity. It is a challenge to make a diagnosis of CAR in the absence of pericardial effusion. We describe a case of a spontaneous rupture of the right coronary artery (RCA) without pericardial effusion that emphasises the benefit of high clinical suspicion and early diagnosis. A 60-year-old man was admitted to the emergency department, with inferior myocardial infarction. Echocardiogram was negative for a pericardial effusion. Coronary angiography revealed complete occlusion of the RCA with intraluminal dissection and extravasation of contrast into the epicardium at the mid-portion of the RCA, which suggested rupture of the RCA. The patient underwent uneventful emergency coronary artery bypass grafting. CAR should be considered as a differential diagnosis in patients with acute chest pain, even in the absence of pericardial effusion, particularly in case of inferior wall involvement.
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