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European Journal of Cardio-Thoracic Surgery, Vol 5, 660-662, Copyright © 1991 by European Association for Cardio-thoracic Surgery
S Aoyagi, H Akashi, T Fujino, Y Kubota, M Momosaki, K Kenmochi, K Yamana, T Honma, K Yamamoto and N Kaku
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.
ARTICLES
Spontaneous rupture of the ascending aorta
Second Department of Surgery, Kurume University School of Medicine, Japan.
This article has been cited by other articles:
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N. J. Thomas Reply to the Editor: J. Thorac. Cardiovasc. Surg., June 1, 2000; 119(6): 1296 - 1296. [Full Text] |
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