Middle aortic syndrome: high index of suspicion should be kept in mind.

A woman in her early 50s with a history of poorly controlled hypertension was admitted to the intensive care unit for an electrical storm complicating an anterolateral myocardial infarction. After admission, she went into a cardiogenic shock refractory to medical treatment and was proposed for mechanical circulatory support. However, her clinical condition suddenly deteriorated, with severe hypotension, absent femoral pulses and a significant fall of haemoglobin without visible blood loss. …