Unusual Case of Overt Aortic Dissection Mimicking Aortic Intramural Hematoma.
10.5090/kjtcs.2016.49.2.126
- Author:
Kushtrim DISHA
1
;
Thomas KUNTZE
;
Evaldas GIRDAUSKAS
Author Information
1. Department of Cardiac Surgery, Central Hospital Bad Berka, Germany. k_disha@hotmail.com
- Publication Type:Case Report
- Keywords:
Aortic diseases;
Aortic dissection;
Aortic aneurysm
- MeSH:
Aortic Aneurysm;
Aortic Diseases;
Hematoma*;
Recurrence;
Tears
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2016;49(2):126-129
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report an interesting case in which overt aortic dissection mimicked two episodes of aortic intramural hematoma (IMH) (Stanford A, DeBakey I). This took place over the course of four days and had a major influence on the surgical treatment strategy. The first episode of IMH regressed completely within 15 hours after it was clinically diagnosed and verified using imaging techniques. The recurrence of IMH was detected three days thereafter, resulting in an urgent surgical intervention. Overt aortic dissection with evidence of an intimal tear was diagnosed intraoperatively.
