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ClinicalA 71-year-old woman with a long history of hypertension presented to the emergency department with sudden onset of chest pain radiating to the back. Initial investigations included a chest radiograph (Figure 1). Figure 1. AP chest radiograph on admission (arrow indicates intimal calcification) What is the diagnosis? Answer and Comment

Summary

Abstract

Aim

Method

Results

Conclusion

Author Information

Manar Khashram, Vascular Registrar, Department of Vascular, Endovascular and Transplant surgery, Christchurch Hospital, Christchurch; Rosemary Wyber, House Surgeon, Vascular Surgery Unit, Wellington Regional Hospital, Wellington

Acknowledgements

Correspondence

Dr Manar Khashram, Private Bag 4710, Christchurch Hospital 8140, Christchurch, New Zealand

Correspondence Email

manar.khashram@gmail.com

Competing Interests

Eggebrecht H, Plicht B, Kahlert P, Erbel R. Intramural hematoma and penetrating ulcers: Indications to endovascular treatment. Eur J Vasc Endovas Surg. 2009;38:659-65.Klompas M. Does this patient have an acute thoracic aortic dissection? JAMA. 2002;287(17):2262-72.

For the PDF of this article,
contact nzmj@nzma.org.nz

View Article PDF

ClinicalA 71-year-old woman with a long history of hypertension presented to the emergency department with sudden onset of chest pain radiating to the back. Initial investigations included a chest radiograph (Figure 1). Figure 1. AP chest radiograph on admission (arrow indicates intimal calcification) What is the diagnosis? Answer and Comment

Summary

Abstract

Aim

Method

Results

Conclusion

Author Information

Manar Khashram, Vascular Registrar, Department of Vascular, Endovascular and Transplant surgery, Christchurch Hospital, Christchurch; Rosemary Wyber, House Surgeon, Vascular Surgery Unit, Wellington Regional Hospital, Wellington

Acknowledgements

Correspondence

Dr Manar Khashram, Private Bag 4710, Christchurch Hospital 8140, Christchurch, New Zealand

Correspondence Email

manar.khashram@gmail.com

Competing Interests

Eggebrecht H, Plicht B, Kahlert P, Erbel R. Intramural hematoma and penetrating ulcers: Indications to endovascular treatment. Eur J Vasc Endovas Surg. 2009;38:659-65.Klompas M. Does this patient have an acute thoracic aortic dissection? JAMA. 2002;287(17):2262-72.

For the PDF of this article,
contact nzmj@nzma.org.nz

View Article PDF

ClinicalA 71-year-old woman with a long history of hypertension presented to the emergency department with sudden onset of chest pain radiating to the back. Initial investigations included a chest radiograph (Figure 1). Figure 1. AP chest radiograph on admission (arrow indicates intimal calcification) What is the diagnosis? Answer and Comment

Summary

Abstract

Aim

Method

Results

Conclusion

Author Information

Manar Khashram, Vascular Registrar, Department of Vascular, Endovascular and Transplant surgery, Christchurch Hospital, Christchurch; Rosemary Wyber, House Surgeon, Vascular Surgery Unit, Wellington Regional Hospital, Wellington

Acknowledgements

Correspondence

Dr Manar Khashram, Private Bag 4710, Christchurch Hospital 8140, Christchurch, New Zealand

Correspondence Email

manar.khashram@gmail.com

Competing Interests

Eggebrecht H, Plicht B, Kahlert P, Erbel R. Intramural hematoma and penetrating ulcers: Indications to endovascular treatment. Eur J Vasc Endovas Surg. 2009;38:659-65.Klompas M. Does this patient have an acute thoracic aortic dissection? JAMA. 2002;287(17):2262-72.

Contact diana@nzma.org.nz
for the PDF of this article

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