ngiographic right heart hypermobility as a sign of non-cardiac pathology in the etting of ST elevation ara Hendry ( MBChB , MD )

Esophageal perforation (Boerhaave’s syndrome) is a severe life-threatening disorder. Diagnosis and treatment are often delayed due to the wide variety of presenting symptoms. This case report details an unusual presentation of Boerhaave’s syndrome in a 48-year-old man mimicking an acute anterior myocardial infarction. We present the history, clinical, angiographic, and computed tomographic (CT) findings, as well as the subsequent management and clinical outcome. We demonstrate the rare angiographic finding of right heart hypermobility, which was strongly suggestive of a non-cardiac diagnosis in a patient with ST segment elevation and cardiovascular compromise © 2013 Japanese College of Cardiology. Published by Elsevier Ltd. All rights reserved.