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The Queen of Hearts disagrees, diagnosing OMI with high confidence: Case Continued: The EKG was not immediately recognized by the emergency provider, who ordered a CT scan to rule out aortic dissection at 1419. Annals of Emergency Medicine 2011; Suppl 58(4): S211. Murakami MM.
Look at the aortic outflow tract. The diagnostic coronaryangiogram identified only minimal coronary artery disease, but there was a severely calcified, ‘immobile’ aortic valve. Aorticangiogram did not reveal aortic dissection. What do you see? Answer below in the still shot.
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