Issue: 2015 > July > case report

Horner’s syndrome in a patient presenting with chest pain

S.H.W. van Bree, M.D.R. van Bree, G.A. Somsen
AbstractFull textPDF


An altered mental status and peripheral nerve dysfunction are alarming signs in a patient presenting with chest pain. If complicated by acute myocardial infarction, this raises the suspicion of aortic dissection and warrants immediate CT angiography. We report a dramatic case of chest pain in a 79-year-old man with somnolence and Horner’s syndrome, subsequently complicated by myocardial infarction. Autopsy demonstrated a type A aortic dissection involving the carotid arteries and the right coronary artery.