Aortic intramural hematoma with severe aortic regurgitation.
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.
Inoue
Yoshito
Y
Department of Cardiovascular Surgery, Saiseikai Utsunomiya Hospital, Tochigi, Japan.
Kiso
Issei
I
Takahashi
Ryuichi
R
Yamada
Taketo
T
Mori
Atsuo
A
D000368:Aged; D000784:Aortic Dissection / Q000150:complications / Q000601:surgery; D001011:Aorta / Q000601:surgery; D001014:Aortic Aneurysm / Q000150:complications / Q000601:surgery; D001018:Aortic Diseases / Q000150:complications* / Q000601:surgery; D001022:Aortic Valve Insufficiency / Q000150:complications* / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation; D005260:Female; D006406:Hematoma / Q000150:complications* / Q000601:surgery; D006801:Humans