Document Detail

Spontaneous rupture of the ascending thoracic aorta resulting in a mimicking pseudoaneurysm.
MedLine Citation:
PMID:  16823342     Owner:  NLM     Status:  MEDLINE    
We report on the rare and successful surgical treatment of a case of spontaneous rupture of the ascending thoracic aorta resulting in a mimicking pseudoaneurysm. A 72-year-old male who had complained of sudden onset of severe chest pain was admitted to our hospital. Initially, acute type A closing aortic dissection was suspected because computed tomography (CT) showed a small ulcer-like projection (ULP) in the posterior aspect of the ascending aortic wall, but it also revealed no intimal flap, false lumen or aortic aneurysm. CT and magnetic resonance imaging (MRI) indicated a change in the radiographic aspect of the ULP and revealed a mimicking saccular-type pseudoaneurysm and gradual increasing size of the pseudoaneurysm. Surgery was performed after considering the risk of pseudoaneurysmal rupture. We replaced the ascending aorta and diagnosed it as a spontaneous aortic rupture by histological examination of the rupture site after failing to observe an aneurysm or dissection. We discuss these results with reference to the literature, including our pathological and radiographical findings.
Shinji Hirai; Yoshiharu Hamanaka; Norimasa Mitsui; Kiyohiko Morifuji; Shinnosuke Uegami
Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia     Volume:  12     ISSN:  1341-1098     ISO Abbreviation:  Ann Thorac Cardiovasc Surg     Publication Date:  2006 Jun 
Date Detail:
Created Date:  2006-07-06     Completed Date:  2007-05-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9703158     Medline TA:  Ann Thorac Cardiovasc Surg     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  223-7     Citation Subset:  IM    
Department of Thoracic and Cardiovascular Surgery, Hiroshima Prefectural Hospital, Japan.
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MeSH Terms
Aneurysm, False / etiology,  pathology,  surgery*
Aorta, Thoracic / pathology,  surgery*
Aortic Rupture / complications,  pathology,  surgery*
Rupture, Spontaneous
Tomography, X-Ray Computed

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