An early recrudescent case of Stanford type A closing aortic dissection
Kumamoto, T.; Shin, H.; Sumida, T.
Nihon Kyobu Geka Gakkai 45(11): 1907-1910
1997
ISSN/ISBN: 0369-4739 PMID: 9430977 Document Number: 476121
A 81-year-old female was hospitalized with chest discomfort. Findings of CT scan revealed Stanford type A acute aortic dissection, but the dissecting lumen had already closed with thrombus. Aortogram showed no intimal tear, intimal flap or ulcer like projection. Under the diagnosis of "closing aortic dissection", conservative treatment was selected. The dissecting lumen was disappearing gradually, but she had a sudden chest pain on hospital day 4 and CT scan demonstrated an enlarged and enhanced dissecting lumen. She underwent an emergency operation and a hemiarch replacement was performed successfully. Her postoperative course was uneventful and she was discharged from the hospital in good health.