Contained rupture of the aorta in acute Stanford type A aortic dissection causing right ventricular wall dissection.
Thorac Cardiovasc Surg
; 57(4): 238-9, 2009 Jun.
Article
em En
| MEDLINE
| ID: mdl-19670122
ABSTRACT
We describe a rare case of an acute aortic type A dissection after previous aortic valve replacement and coronary artery revascularization complicated by a contained rupture and right ventricular wall dissection. Although preoperatively echocardiography and CT scan described a pericardial hematoma, intraoperatively no intrapericardial hematoma was found; instead an extended right ventricular wall dissection caused by a large thrombus formation within the right ventricular muscle layers was demonstrated. After replacement of the ascending aorta and removal of the thrombus as the sole treatment for right ventricular wall dissection, the two dissected layers of the right ventricular wall were contracting synchronously again.
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Ruptura Aórtica
/
Ruptura do Septo Ventricular
/
Ventrículos do Coração
/
Dissecção Aórtica
Tipo de estudo:
Etiology_studies
Limite:
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Thorac Cardiovasc Surg
Ano de publicação:
2009
Tipo de documento:
Article
País de afiliação:
Alemanha