Aortic Intramural Hematoma with Severe Aortic Regurgitation

Yoshito Inoue, Issei Kiso, Ryuichi Takahashi, Taketo Yamada, Atsuo Mori

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Abstract

A 71-year-old Japanese woman with severe chest pain was diagnosed with Stanford type A acute aortic dissection. After 3 months of medical treatment, she was operated on under a diagnosis of dissecting aneurysm of the ascending aorta and severe aortic regurgitation. Operative findings showed prolapse of the redundant aortic leaflets and a dilated ascending aorta without intimal tears. Operative and computed tomography findings differed from those of a classical dissection, which was the primary diagnosis of this patient, and were compatible with a diagnosis of aortic intramural hematoma (IMH). Few reports of IMH include concomitant aortic regurgitation. Surgery involved aortic root remodeling and prosthetic graft replacement of the ascending aorta.

Original languageEnglish
Pages (from-to)198-200
Number of pages3
JournalJapanese Journal of Thoracic and Cardiovascular Surgery
Volume51
Issue number5
DOIs
Publication statusPublished - 2003 May

Keywords

  • Aortic intramural hematoma
  • Aortic regurgitation
  • Aortic root remodeling
  • Elective surgery

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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