Unexpected limited chronic dissection of the ascending aorta

J Cardiothorac Surg. 2008 Jul 18:3:49. doi: 10.1186/1749-8090-3-49.

Abstract

We report a rare case of a limited chronic dissection of the ascending aorta that was accidentally discovered at operation performed for severe aortic stenosis and moderate to severe dilatation of the ascending aorta. Preoperative investigations such as transoesophageal echocardiography and cardiac catheterization missed the diagnosis of dissection. Intraoperative findings included a 3.5 cm eccentric bulge of the ascending aorta and a 5 mm circular shaped intimal tear comunicating with a limited hematoma or small dissection of the media layer. (The rarety of the report is that the chronic dissection is limited to a small area (approximatively 3.5 x 2.5 cm) of the ascending aorta).

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Aortic Aneurysm, Thoracic / complications
  • Aortic Aneurysm, Thoracic / diagnosis*
  • Aortic Aneurysm, Thoracic / surgery
  • Aortic Dissection / complications
  • Aortic Dissection / diagnosis*
  • Aortic Dissection / surgery
  • Aortic Valve Stenosis / complications
  • Aortic Valve Stenosis / diagnosis
  • Aortic Valve Stenosis / surgery
  • Aortography
  • Blood Vessel Prosthesis Implantation / methods
  • Cardiac Catheterization
  • Chronic Disease
  • Diagnosis, Differential
  • Echocardiography, Transesophageal
  • Female
  • Follow-Up Studies
  • Humans