Aortic dissection without intimal rupture: diagnosis and management.
A 59-year-old man had symptoms of aortic dissection. Computed tomography and angiography showed a large intramural hematoma of the ascending and descending aorta without intimal defect or false lumen. The hematoma resolved completely within 7 weeks with medical treatment. His symptoms recurred 6 months later. Computed tomography and angiography demonstrated a type B dissection with a false lumen and an intimal defect. This case illustrated the progressive nature of aortic dissection without intimal rupture. The diagnostic criteria and therapeutic options are discussed.
Lui
R C
RC
Division of Cardiovascular and Thoracic Surgery, University Hospital, University of Western Ontario, London, Canada.
Menkis
A H
AH
McKenzie
F N
FN
D000784:Aortic Dissection / Q000000981:diagnostic imaging* / Q000628:therapy; D000792:Angiography; D001013:Aorta, Thoracic; D001014:Aortic Aneurysm / Q000000981:diagnostic imaging* / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D012422:Rupture, Spontaneous; D014057:Tomography, X-Ray Computed