Type A intramural haematoma secondary to penetrating atherosclerotic ulcer of the ascending aorta.
Acute aortic syndrome
Intramural haematoma
Penetrating atherosclerotic ulcer
Journal
Interactive cardiovascular and thoracic surgery
ISSN: 1569-9285
Titre abrégé: Interact Cardiovasc Thorac Surg
Pays: England
ID NLM: 101158399
Informations de publication
Date de publication:
01 03 2019
01 03 2019
Historique:
received:
13
05
2018
revised:
23
07
2018
accepted:
08
08
2018
pubmed:
27
9
2018
medline:
14
8
2019
entrez:
27
9
2018
Statut:
ppublish
Résumé
Intramural haematoma and penetrating atherosclerotic ulcer belong to the group of acute aortic syndromes. The combined presentation of both intramural haematoma and a penetrating atherosclerotic ulcer in the ascending aorta is a very rare finding. Here, we present the case of a 72-year-old female, who was admitted to our centre with acute chest and back pain. She was diagnosed with type A intramural haematoma secondary to a penetrating atherosclerotic ulcer of the ascending aorta, and she underwent subsequent emergent surgical management. The diagnosis was confirmed intraoperatively and histopathologically. This case depicts the dynamic pathophysiological development of acute aortic syndromes and the finding that different entities of acute aortic syndromes may evolve or lead to another.
Identifiants
pubmed: 30256947
pii: 5107211
doi: 10.1093/icvts/ivy268
doi:
Types de publication
Case Reports
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Pagination
491-492Informations de copyright
© The Author(s) 2018. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.