We report the case of an ascending aorta aneurysm with intramural haematoma (IMH) in a patient with severe hypotension without history of thoracic pain or hypertension. Computed tomography angiography (CTA) and magnetic resonance angiography (MRA) demonstrated the presence of subacute IMH and also revealed sacciform aneurysm of the aortic arch. The patient refused hospitalization and one week later he underwent emergency aortic replacement for dissection. CTA is the technique of choice in acute aortic syndrome and magnetic resonance is helpful in IMH detection and age determination. (C) 2010 Published by European Association for Cardio-Thoracic Surgery. All rights reserved.
Sub-acute intramural haematoma of the ascending aorta / DE CECCO, CARLO NICOLA; M., Di Girolamo; F., Mancuso; David, Vincenzo. - In: INTERACTIVE CARDIOVASCULAR AND THORACIC SURGERY. - ISSN 1569-9293. - 11:5(2010), pp. 701-702. [10.1510/icvts.2010.234468]
Sub-acute intramural haematoma of the ascending aorta
DE CECCO, CARLO NICOLA;DAVID, vincenzo
2010
Abstract
We report the case of an ascending aorta aneurysm with intramural haematoma (IMH) in a patient with severe hypotension without history of thoracic pain or hypertension. Computed tomography angiography (CTA) and magnetic resonance angiography (MRA) demonstrated the presence of subacute IMH and also revealed sacciform aneurysm of the aortic arch. The patient refused hospitalization and one week later he underwent emergency aortic replacement for dissection. CTA is the technique of choice in acute aortic syndrome and magnetic resonance is helpful in IMH detection and age determination. (C) 2010 Published by European Association for Cardio-Thoracic Surgery. All rights reserved.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
