Archives of the Turkish Society of Cardiology
A rare cause of chest pain mimicking myocardial infarction [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2014; 42(5): 472-474 | DOI: 10.5543/tkda.2014.27163

A rare cause of chest pain mimicking myocardial infarction

Kudret Keskin1, Murat Başkurt1, Faruk Aktürk2, Cenk Conbayır3
1Department of Cardiology, Bahcelievler Medicana Hospital, Istanbul
2Department of Cardiology, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul
3Department of Cardiology, Near East University, Nicosia, (North) Cyprus

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.

Keywords: Cholangiopancreatography, endoscopic retrograde, myocardial infarction; pneumothorax; pneumomediastinum

How to cite this article
Kudret Keskin, Murat Başkurt, Faruk Aktürk, Cenk Conbayır. A rare cause of chest pain mimicking myocardial infarction. Turk Kardiyol Dern Ars. 2014; 42(5): 472-474

Corresponding Author: Kudret Keskin, Türkiye
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