Recurrent type B intramural hematoma progressed into type A acute aortic dissection in a young otherwise healthy woman: are there unknown background factors?

• Published in: Interactive cardiovascular and thoracic surgery Vol. 6; no. 2; pp. 255 - 256
• Main Authors: Baek, Wan Ki, Han Yoon, Yong, Taek Kim, Joung, Ho Kim, Kwang
• Format: Journal Article
• Language: English
• Published: England Eur Assoc Cardio Surg 01.04.2007
• Subjects: Acute Disease; Adult; Aneurysm, Dissecting - diagnostic imaging; Aneurysm, Dissecting - etiology; Aneurysm, Dissecting - surgery; Antihypertensive Agents - therapeutic use; Aortic Aneurysm - diagnostic imaging; Aortic Aneurysm - etiology; Aortic Aneurysm - surgery; Aortic Diseases - complications; Aortic Diseases - diagnostic imaging; Aortic Diseases - drug therapy; Aortography - methods; Blood Vessel Prosthesis Implantation; Disease Progression; Female; Hematoma - complications; Hematoma - diagnostic imaging; Hematoma - drug therapy; Humans; Recurrence; Severity of Illness Index; Tomography, X-Ray Computed; Treatment Outcome
• ISSN: 1569-9293; 1569-9285
• DOI: 10.1510/icvts.2006.149187

Department of Thoracic and Cardiovascular Surgery, Inha University Hospital 7-206, 3-Ga, Shinheung-Dong, Jung-Ku Incheon 400-103, South Korea *Corresponding author. Tel.: +82-32-890-2127; Fax: +82-32-890-3099. E-mail address : wkbaek{at}inha.ac.kr (W.K. Baek). Intramural hematoma is reported with increasing frequency but the recurrence after complete resolution is rarely reported. We herewith describe a case of type B intramural hematoma in an otherwise healthy 39-year-old woman showing unusual clinical course in which acute aortic dissection developed three months after complete resolution of intramural hematoma. The case clearly reminded us of the potential of intramural hematoma for recurrence and progression to frank aortic dissection even after complete resolution. Key Words: Intramural hematoma; Aortic dissection; Recurrence Related Article ICVTS on-line discussion A Women with Marfan syndrome Mohamed Fahmy Ibrahim and Amal A. Refaut Interactive CardioVascular and Thoracic Surgery 2007 6: 256. [Full Text] [PDF]