A Case of Spontaneous Aortic Root Rupture

DOI 3 References
  • Hara Masanori
    Department of Cardiovascular Surgery, Teikyo University School of Medicine
  • Imazuru Tomohiro
    Department of Cardiovascular Surgery, Teikyo University School of Medicine
  • Matsuyama Shigefumi
    Department of Cardiovascular Surgery, Teikyo University School of Medicine
  • Ozawa Naomi
    Department of Cardiovascular Surgery, Teikyo University School of Medicine
  • Uchiyama Masateru
    Department of Cardiovascular Surgery, Teikyo University School of Medicine
  • Ikeda Tsukasa
    Department of Cardiovascular Surgery, Teikyo University School of Medicine
  • Shimokawa Tomoki
    Department of Cardiovascular Surgery, Teikyo University School of Medicine

Bibliographic Information

Other Title
  • 特発性大動脈基部破裂の1例

Search this article

Abstract

The patient was a 74-year-old man who was brought to the emergency room with severe chest pain and shock. Transthoracic echocardiography showed moderate pericardial effusion, and contrast-enhanced computed tomography (CT) showed a dilated ascending aorta with hematoma. However, no evidence of an intimal flap in the aorta was found. Bloody pericardial effusion was suggested by the CT attenuation value ; therefore, type A aortic dissection was highly suspected. At surgery, an extramural hematoma was observed on the ascending aorta. An 8-mm dehiscence that had penetrated the adventitia was identified just above the commissure between the right and left coronary cusps of the aortic valve, without dissection in the ascending aorta, and thus spontaneous aortic root rupture was diagnosed. The dehiscence was closed directly with a mattress suture from outside of the sinus, and the dilated ascending aorta was replaced. The patient's postoperative course was unremarkable, and he was discharged 14 days after surgery.

Journal

References(3)*help

See more

Related Projects

See more

Keywords

Details 詳細情報について

Report a problem

Back to top