Angiographic right heart hypermobility as a sign of non-cardiac pathology in the setting of ST elevation.

ABSTRACT: Esophageal perforation (Boerhaave's syndrome) is a severe life-threatening disorder. Diagnosis and treatment are often delayed due to the wide variety of presenting symptoms. This case report details an unusual presentation of Boerhaave's syndrome in a 48-year-old man mimicking an acute anterior myocardial infarction. We present the history, clinical, angiographic, and computed tomographic (CT) findings, as well as the subsequent management and clinical outcome. We demonstrate the rare angiographic finding of right heart hypermobility, which was strongly suggestive of a non-cardiac diagnosis in a patient with ST segment elevation and cardiovascular compromise

SUBMITTER: Hendry C 

PROVIDER: S-EPMC6281500 | biostudies-literature | 2013 Jul

REPOSITORIES: biostudies-literature