A Case of Spontaneous Rupture of the Ascending Aorta
10.4326/jjcvs.39.45
- VernacularTitle:特発性上行大動脈破裂の緊急手術例
- Author:
Noriyuki Kashiyama
;
Yasuhiko Kubota
;
Dairoku Nishikawa
;
Hironori Izutani
- Publication Type:Journal Article
- Keywords:
spontaneous rupture of aorta;
acute aortic dissection
- From:Japanese Journal of Cardiovascular Surgery
2010;39(1):45-48
- CountryJapan
- Language:Japanese
-
Abstract:
The patient was a 69-year-old man brought to the emergency room with severe chest pain. A contrast chest CT scan revealed a hematoma around the ascending aorta and a notch in the aortic wall, suggesting an intimal tear. An emergency operation was performed via standard median sternotomy under deep hypothermic circulatory arrest. Upon operation, there was a 2.0 cm intimal tear just above the right coronary leaflet, which was extended near the right coronary artery orifice. There was no specific evidence of aortic aneurysm or dissection, therefore a spontaneous rupture of the ascending aorta was diagnosed. The pathological finding was cystic medial necrosis Grade 2. His postoperative course was unremarkable and he was discharged 12 days after surgery.
