Spontaneous rupture of the thoracic aorta.
Spontaneous rupture of the aorta without previous history of trauma, hypertension, or apparent aortic pathology is exceedingly rare. Delayed or nonoperative repair of this condition is usually lethal. Survival after spontaneous mid arch aortic rupture requires a high index of suspicion, rapid and appropriate diagnostic tests, and early operative repair. Clinical presentation, clues to diagnosis, and optimal management of this entity are discussed.
Komanapalli
Christopher B
CB
Department of Surgery, Division of Cardiothoracic Surgery, Oregon Health and Science University, 3181 SW Sam Jackson Park Road, Portland, OR 97239, USA.
Tripathy
Uttam
U
Ravichandran
Pasala S
PS
Slater
Matthew S
MS
D000328:Adult; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging* / Q000473:pathology; D001019:Aortic Rupture / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D017548:Echocardiography, Transesophageal; D006801:Humans; D008297:Male; D012422:Rupture, Spontaneous / Q000175:diagnosis / Q000601:surgery; D014057:Tomography, X-Ray Computed