Document Detail

Rupture of a dissecting aneurysm into the superior vena cava in Marfan's syndrome.
MedLine Citation:
PMID:  9267354     Owner:  NLM     Status:  MEDLINE    
Aneurysmal dilatation of the aorta with subsequent dissection or rupture occurs frequently in patients with Marfan's syndrome. These complications are among the major causes of death. We report the case of a 51-year-old man with annulo-aortic ectasia in Marfan's syndrome. Acute aortic dissection and rupture into the superior vena cava occurred 8 years after aortic valve replacement. The preoperative diagnosis was made by right heart catheterization and computed tomography. A markedly increased left-to-right shunt occurred with rapid enlargement of the fistula due to the fragility of the aortic wall characteristic of Marfan's syndrome. Postmortem examination demonstrated severe medial necrosis with rupture of the aortic wall into the superior vena cava which was adherent to the suture line of the aortotomy from the previous surgery. Type A aortic dissection with severe congestive heart failure strongly suggested rupture into the pulmonary circulation.
Y Toyoda; C Yamashita; M Yoshida; H Nohara; K Okada; Y Otaki; M Okada
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of cardiovascular surgery     Volume:  38     ISSN:  0021-9509     ISO Abbreviation:  J Cardiovasc Surg (Torino)     Publication Date:  1997 Aug 
Date Detail:
Created Date:  1997-09-11     Completed Date:  1997-09-11     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0066127     Medline TA:  J Cardiovasc Surg (Torino)     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  411-3     Citation Subset:  IM    
Department of Surgery, Kobe University School of Medicine, Japan.
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MeSH Terms
Aneurysm, Dissecting / complications*,  radiography
Aortic Aneurysm, Thoracic / complications*,  radiography
Aortic Rupture / complications*,  radiography
Fistula / complications*,  radiography
Marfan Syndrome / complications*
Middle Aged
Vascular Diseases / complications,  radiography
Vena Cava, Superior* / radiography

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