Spontaneous rupture of the ascending aorta

• Published in: European journal of cardio-thoracic surgery Vol. 5; no. 12; pp. 660 - 662
• Main Authors: AOYAGI, S, AKASHI, H, KOSUGA, K, OISHI, K, FUJINO, T, KUBOTA, Y, MOMOSAKI, M, KENMOCHI, K, YAMANA, K, HONMA, T, YAMAMOTO, K, KAKU, N
• Format: Journal Article
• Language: English
• Published: Amsterdam Elsevier Science B.V 01.01.1991; Elsevier Science
• Subjects: Aged; Aorta, Thoracic; Aortic Rupture - diagnosis; Aortic Rupture - pathology; Aortic Rupture - surgery; Aortography; Biological and medical sciences; Blood and lymphatic vessels; Cardiology. Vascular system; Diseases of the aorta; Echocardiography; Female; Humans; Medical sciences; Dissecting aneurysm; Thoracic aorta; Case study; Human; Spontaneous; Tissue rupture; Aorta; Cardiovascular disease; Aortic disease
• ISSN: 1010-7940; 1873-734X
• DOI: 10.1016/1010-7940(91)90124-3

A case of spontaneous non-traumatic rupture of the thoracic aorta in ahypertensive patient is presented. The clinical findings suggested acuteaortic dissection, and a large pericardial effusion was detected byechocardiography. The typical angiographic features of aortic dissectionwere not found. Autopsy revealed a longitudinal intimal tear and a rupturein the postero-lateral aspect of the ascending aorta. No false lumen wasseen in the ascending aorta. When acute intrapericardial or intrapleuralbleeding develops with no evidence of aortic aneurysm or dissection,spontaneous aortic rupture should be suspected.