Abstract

A 52-YEAR-OLD, 123 kg, 188 cm man, with hypertension, hyperlipidemia, diabetes mellitus, and coronary artery disease, was referred back to the authors’ institution from the emergency department of another Veterans Affairs medical center for evaluation of sharp right chest pain adjacent to his proximal clavicle and superior manubrium of 2 weeks' duration. The patient had undergone uncomplicated coronary artery bypass graft surgery at the authors’ institution 5 years before the current admission. He also described right upper extremity tingling and occasional numbness, but he denied other neurologic complaints.

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