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Aortic dissection with multifocal penetrating atherosclerotic ulcers

Description

A 68-year-old female presented to the hospital with chest pain, and left scapular pain. Her history was significant for coronary artery disease, ischemic cardiomyopathy, hypertension, hyperlipidemia, diabetes, chronic obstructive pulmonary disease, and active tobacco user. Her chest pain was sharp in nature, 10/10 in intensity, non-radiating, non-pleuritic in nature. Electrocardiogram: sinus bradycardia, left axis deviation, prolonged QT, T-wave inversions noted in V2–V6 and an isolated ST-elevation in V1. Negative Troponin. CT chest angiography was obtained which revealed a thoracic aortic dissection with multifocal penetrating atherosclerotic ulcers. Patient was medically managed with no complications.

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