Recurrent type B intramural hematoma progressed into type A acute aortic dissection in a young otherwise healthy woman: are there unknown background factors?
Intramural hematoma is reported with increasing frequency but the recurrence after complete resolution is rarely reported. We herewith describe a case of type B intramural hematoma in an otherwise healthy 39-year-old woman showing unusual clinical course in which acute aortic dissection developed three months after complete resolution of intramural hematoma. The case clearly reminded us of the potential of intramural hematoma for recurrence and progression to frank aortic dissection even after complete resolution.
Baek
Wan Ki
WK
Department of Thoracic and Cardiovascular Surgery, Inha University Hospital 7-206, 3-Ga, Shinheung-Dong, Jung-Ku Incheon 400-103, South Korea. wkbaek@inha.ac.kr
Han Yoon
Yong
Y
Taek Kim
Joung
J
Ho Kim
Kwang
K
D000208:Acute Disease; D000328:Adult; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D000959:Antihypertensive Agents / Q000627:therapeutic use; D001014:Aortic Aneurysm / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D001018:Aortic Diseases / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy; D001027:Aortography / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation; D018450:Disease Progression; D005260:Female; D006406:Hematoma / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy; D006801:Humans; D012008:Recurrence; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D000959:Antihypertensive Agents