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Brazilian Journal of Cardiovascular Surgery

Print version ISSN 0102-7638On-line version ISSN 1678-9741


MARTIN, José Fernando Vilela et al. Myocardial infarction and aortic dissection: an important differential diagnosis. Rev Bras Cir Cardiovasc [online]. 2004, vol.19, n.4, pp.386-390. ISSN 1678-9741.

We report on a case of a 54-year-old man suffering from untreated high blood pressure who presented with a hypertensive emergency and target-organ damage. Initially, he was treated for myocardial infarction but later was diagnosed as having a type-A aortic dissection which was successfully operated with adequate control of blood pressure within the first 24 hours. We emphasize the necessity of the differential diagnosis of thoracic pain in the hospital emergency department and the correct treatment of arterial hypertension aiming at a better prognostic over the long term.

Keywords : Hypertension; Myocardial infarction; Aortic aneurysm [diagnosis]; Aortic aneurysm [surgery]; Aneurysm dissecting [diagnosis]; Aneurysm dissecting [surgery]; Diagnosis differential.

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