Acute type A aortic dissection associated with an aortic annular abscess.
We describe a 66-year-old woman who underwent open heart surgery because of congestive heart failure. During operation, we found a Stanford type A dissection and an aortic ring abscess, which had burst into the aortic lumen. No other entries were found. Pathological examination showed excessive neutrophil infiltration in the aortic root. We strongly suspect that the abscess produced the intimal tear to cause the aortic dissection.
Niitsuma
Y
Y
Division of Cardiovascular Surgery, Funabashi Municipal Medical Center, Chiba, Japan.
Takahara
Y
Y
Sudo
Y
Y
Nakano
H
H
D000038:Abscess / Q000473:pathology / Q000601:surgery*; D000368:Aged; D000784:Aortic Dissection / Q000473:pathology / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000473:pathology / Q000601:surgery*; D001021:Aortic Valve / Q000473:pathology / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000473:pathology / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D004697:Endocarditis, Bacterial / Q000473:pathology / Q000601:surgery; D005260:Female; D006333:Heart Failure / Q000473:pathology / Q000601:surgery; D019918:Heart Valve Prosthesis Implantation; D006801:Humans