Chronic pseudo-angina left precordial chest pain caused by a thoracic meningioma

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• 作者：Eric Azabou ; Vincent Kumako ; Mahmoud Al Moussawi ; Colette Berger ; Nathalie Andre-Obadia ; Laurence Kocher ; Pierre-Marie Gonnaud
• 关键词：Angina ; Pseudo-angina pain ; Magnetic resonance imaging ; Cardiac ; Meningioma
• 刊名：Journal of Cardiology Cases
• 出版年：February, 2014
• 年：2014
• 卷：9
• 期：2
• 页码：54-56
• 全文大小：432 K

文摘

Left precordial chest pain (LPCP) evokes above all angina. Eliminating a cardiac origin is then always the first priority. When cardiac causes are eliminated, non-cardiac causes are sought in order to avoid leaving patients with undiagnosed or undifferentiated chest pain. There is a myriad of non-cardiac causes ranging from heartburn, panic attacks, pleurisy, pulmonary embolism, pneumothorax, Tietze syndrome, bruises and fractures of the ribs, to spine meningioma, neuroma, herniated disk and impairment of the nerve roots. Although clinical presentation and characteristics of the pain are usually helpful in diagnosing the cause, conducting magnetic resonance imaging of the spine may be of a high utility in some situations. Here we report a case of chronic angina-like LPCP, caused by a thoracic meningioma.

<Learning objective: In cases where no cardiac, pulmonary, or digestive causes were detected, the management of left precordial chest pain should definitely include spine magnetic resonance imaging.>