In order to bring you the best possible user experience, this site uses Javascript. If you are seeing this message, it is likely that the Javascript option in your browser is disabled. For optimal viewing of this site, please ensure that Javascript is enabled for your browser.

The free consultation period for this content is over.

It is now only available year-round to ACVC Ivory (& above) Members, Fellows of the ESC and Young combined Members

Cardiac masks of the Boerhaaves syndrom

Session Poster Session 1 - Acute Heart Failure, Cardiogenic Shock and Advanced Cardiac Support

Speaker Elena Kosmacheva

Event : Acute Cardiovascular Care 2018

  • Topic : coronary artery disease, acute coronary syndromes, acute cardiac care
  • Sub-topic : Acute Cardiac Care – Other
  • Session type : Poster Session

Authors : SV Kruchinova (Krasnodar,RU), SA Raff (Krasnodar,RU), ED Kosmacheva (Krasnodar,RU), EA Shelushenko (Krasnodar,RU), IV Kuteeva (Krasnodar,RU)

SV Kruchinova1 , SA Raff1 , ED Kosmacheva1 , EA Shelushenko1 , IV Kuteeva1 , 1Krasnodar Regional Clinical Hospital No1 - Krasnodar - Russian Federation ,

European Heart Journal Supplement ( 2018 ) 7 ( Supplement ), S60

On August 10, 2017, at 9:30 am, the emergency team delivered the patient M. with a diagnosis of ACS in the SRI KKB #1 n.u. professor Ochapovsk?. At admission, he complained of intense pain behind the breastbone, a pressing, compressive nature, intensifying with breathing, extending into the interlopar and lumbar regions, intensifying with deep inspiration, diminishing in the position on the diseased side, a feeling of lack of air. On examination: complaints of pain of moderate intensity in the same areas of the chest with irradiation into the interlopacal and lumbar regions, accompanied by a feeling of lack of air, attracted attention to the patient’s forced position on the left side, paleness and moisture of the skin, frequent shallow breathing. Cardiac tones are clear, rhythmic, heart rate - 106 per minute. The arterial pressure is 110 and 70 mm Hg. When palpating the abdomen is painless. ECG: sinus tachycardia, an increase in the amplitude of the T wave. ECHO: EDD 40mm, EF> 55% normal local contractility, RV 25 mm. Laboratory: leukocytosis (25.30 10e9 / l) with neutrophilia, cardiac troponin was normal. Chest X-ray within the age limit. CT of the chest, abdominal and aortic: in the mediastinum, from the level of the upper aperture to the diaphragm, along the course of the main vessels, esophagus and bronchi, an extensive accumulation of air. ? detailed search revealed a defect in the left wall of the distal part of esophagus up to 2.7 mm, which communicates the lumen of the esophagus and the paraeophageal space (Fig. 1). On 10.08.17 at 11:30 a.m. the patient was diagnosed: Boerhaave’s syndrome. The patient was transported to the surgical department SRI KKB #1 n.u. professor Ochapovsky. It was made easophagorrhaphy and he was discharged 13 days later. So, a rare disease with a prevalence of 1: 10,000 was diagnosed in just 2 hours and the patient was rescued.

Members get more

Join now
  • 1ESC Professional Members – access all resources from general ESC events 
  • 2ESC Association Members (Ivory, Silver, Gold) – access your Association’s resources
  • 3Under 40 or in training - with a Combined Membership, access all resources
Join now

Our sponsors

ESC 365 is supported by Bayer, Boehringer Ingelheim and Lilly Alliance, Bristol-Myers Squibb and Pfizer Alliance, Novartis Pharma AG and Vifor Pharma in the form of educational grants. The sponsors were not involved in the development of this platform and had no influence on its content.

logo esc

Our mission: To reduce the burden of cardiovascular disease

Who we are