A rare cause of chest pain mimicking myocardial infarction

e present a patient who underwent endoscopic retrograde cholangiopancreatography procedure for bile duct stone removal and sphincterotomy. Upon completion of the procedure, the patient experienced severe chest pain. Because myocardial infarction was the likely diagnosis, we immediately performed a c...

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Main Authors: Kudret Keskin, Murat Başkurt, Faruk Aktürk, Cenk Conbayır
Format: Article
Language:English
Published: KARE Publishing 2014-07-01
Series:Türk Kardiyoloji Derneği Arşivi
Subjects:
Online Access:https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tkd&un=TKDA-27163
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author Kudret Keskin
Murat Başkurt
Faruk Aktürk
Cenk Conbayır
author_facet Kudret Keskin
Murat Başkurt
Faruk Aktürk
Cenk Conbayır
author_sort Kudret Keskin
collection DOAJ
description e present a patient who underwent endoscopic retrograde cholangiopancreatography procedure for bile duct stone removal and sphincterotomy. Upon completion of the procedure, the patient experienced severe chest pain. Because myocardial infarction was the likely diagnosis, we immediately performed a coronary angiography, which identified severe coronary lesions without any total occlusion. Being skeptical of the possible cause, we searched for alternative causes and interestingly found pneumothorax, pneumomediastinum, and retro-intra-abdominal free air. This rare complication is particularly important for a cardiologist because they should be aware of such a complication, and correlation with the symptoms and coronary lesions should always be made.
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spelling doaj.art-c526dc0c182c481190bbd2a5032e6ca92023-02-15T16:12:05ZengKARE PublishingTürk Kardiyoloji Derneği Arşivi1016-51692014-07-0142547247410.5543/tkda.2014.27163TKDA-27163A rare cause of chest pain mimicking myocardial infarctionKudret Keskin0Murat Başkurt1Faruk Aktürk2Cenk Conbayır3Department of Cardiology, Bahcelievler Medicana Hospital, IstanbulDepartment of Cardiology, Bahcelievler Medicana Hospital, IstanbulDepartment of Cardiology, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, IstanbulDepartment of Cardiology, Near East University, Nicosia, (North) Cypruse present a patient who underwent endoscopic retrograde cholangiopancreatography procedure for bile duct stone removal and sphincterotomy. Upon completion of the procedure, the patient experienced severe chest pain. Because myocardial infarction was the likely diagnosis, we immediately performed a coronary angiography, which identified severe coronary lesions without any total occlusion. Being skeptical of the possible cause, we searched for alternative causes and interestingly found pneumothorax, pneumomediastinum, and retro-intra-abdominal free air. This rare complication is particularly important for a cardiologist because they should be aware of such a complication, and correlation with the symptoms and coronary lesions should always be made.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tkd&un=TKDA-27163cholangiopancreatographyendoscopic retrogrademyocardial infarction; pneumothorax; pneumomediastinum
spellingShingle Kudret Keskin
Murat Başkurt
Faruk Aktürk
Cenk Conbayır
A rare cause of chest pain mimicking myocardial infarction
Türk Kardiyoloji Derneği Arşivi
cholangiopancreatography
endoscopic retrograde
myocardial infarction; pneumothorax; pneumomediastinum
title A rare cause of chest pain mimicking myocardial infarction
title_full A rare cause of chest pain mimicking myocardial infarction
title_fullStr A rare cause of chest pain mimicking myocardial infarction
title_full_unstemmed A rare cause of chest pain mimicking myocardial infarction
title_short A rare cause of chest pain mimicking myocardial infarction
title_sort rare cause of chest pain mimicking myocardial infarction
topic cholangiopancreatography
endoscopic retrograde
myocardial infarction; pneumothorax; pneumomediastinum
url https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tkd&un=TKDA-27163
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