Remove Aortic valve Remove Cardiac Arrest Remove Pericarditis
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A woman in her 70s with chest pain

Dr. Smith's ECG Blog

Intraoperative TEE noted "Type A aortic dissection arising 1.0 cm distal to the non-coronary cusp of the aortic valve." Her dissection was repaired and her aortic valve was resuspended. She was noted to have a blood-tinged pericardial effusion.

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Cardiologist declines taking patient to the cath lab. Patient dies.

Dr. Smith's ECG Blog

As always, takotsubo cardiomyopathy and focal pericarditis can mimic OMI, but takotsubo almost never mimics posterior MI, and both are diagnoses of exclusion after a negative cath. About two hours after admission, he suffered a cardiac arrest (whether it was VF/VT or PEA is not available) and expired. Is that normal?