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European Journal of Cardio-Thoracic Surgery, Vol 5, 660-662, Copyright © 1991 by European Association for Cardio-thoracic Surgery


ARTICLES

Spontaneous rupture of the ascending aorta

S Aoyagi, H Akashi, T Fujino, Y Kubota, M Momosaki, K Kenmochi, K Yamana, T Honma, K Yamamoto and N Kaku
Second Department of Surgery, Kurume University School of Medicine, Japan.

A case of spontaneous non-traumatic rupture of the thoracic aorta in a hypertensive patient is presented. The clinical findings suggested acute aortic dissection, and a large pericardial effusion was detected by echocardiography. The typical angiographic features of aortic dissection were not found. Autopsy revealed a longitudinal intimal tear and a rupture in the postero-lateral aspect of the ascending aorta. No false lumen was seen in the ascending aorta. When acute intrapericardial or intrapleural bleeding develops with no evidence of aortic aneurysm or dissection, spontaneous aortic rupture should be suspected.


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N. J. Thomas
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J. Thorac. Cardiovasc. Surg., June 1, 2000; 119(6): 1296 - 1296.
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Copyright © 1991 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.