RT Journal
A1 Dahlberg S, Burke M, Gore JM
T1 BIlateral brachial artery emboli presenting as aortic dissection
JF Archives of Internal Medicine
JO Archives of Internal Medicine
YR 1989
FD June 1
VO 149
IS 6
SP 1419
OP 1420
DO 10.1001/archinte.1989.00390060131028
UL http://dx.doi.org/10.1001/archinte.1989.00390060131028
AB • Loss of peripheral pulses in a patient with chest pain suggests the diagnosis of aortic dissection. An 80-year-old woman presented with an episode of chest pain and acute bilateral loss of upper extremity pulses that was initially treated as aortic dissection. Findings of physical examination and echocardiography were consistent with mitral stenosis. Angiography revealed bilateral brachial artery emboli, which were treated by embolectomy. To our knowledge, this case represents the first report of simultaneous brachial artery emboli in association with mitral stenosis.(Arch Intern Med. 1989;149:1419-1420)