Key result
Proximal aortic dissection causes extramural RCA compression leading to RV dysfunction and shock.
Design
Case report
Authors
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Consider aortic dissection in unexplained RV shock; case extends compression mechanisms but remains hypothesis-generating.
Case Report (n=1)
Proximal aortic dissection can present with right ventricular dysfunction due to extramural compression of the right coronary artery, even when initial cardiac investigations appear normal.
Paidipaty et al. (1983) conducted a case report in Acute proximal aortic dissection (n=1). Proximal aortic dissection with extramural compression of right coronary artery was evaluated on Right ventricular dysfunction and death. Proximal aortic dissection caused extramural compression of the right coronary artery, resulting in right ventricular dysfunction and shock in a hypertensive patient.
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