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.
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
Wan Ki
WK
Baek
Yong
Y
Han Yoon
Joung
J
Taek Kim
Kwang
K
Ho Kim
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