Difficulty Diagnosing Retrograde Type A Aortic Dissection with Intramural Hematoma and Risk of Re-dissection and Rupture: A Report of Two Cases

Acute type A aortic dissection is a potentially fatal disease, and emergency surgery should be considered when it is diagnosed. We herein report two cases of retrograde type A aortic dissection with intramural hematoma, followed by re-dissection, rupture, and cardiac tamponade. The diagnoses in thes...

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Autores principales: Kanda, Takahiro, Tawarahara, Kei, Nakamura, Naoki, Tokonami, Yuki, Aoshima, Hiroyuki, Matsukura, Gaku, Matsunari, Masayoshi, Takabayashi, Rumi, Ozeki, Mariko, Ukigai, Hiroshi, Takeuchi, Ryosuke, Takeuchi, Kazuhiko
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8545650/
https://www.ncbi.nlm.nih.gov/pubmed/33840696
http://dx.doi.org/10.2169/internalmedicine.7009-21
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author Kanda, Takahiro
Tawarahara, Kei
Nakamura, Naoki
Tokonami, Yuki
Aoshima, Hiroyuki
Matsukura, Gaku
Matsunari, Masayoshi
Takabayashi, Rumi
Ozeki, Mariko
Ukigai, Hiroshi
Takeuchi, Ryosuke
Takeuchi, Kazuhiko
author_facet Kanda, Takahiro
Tawarahara, Kei
Nakamura, Naoki
Tokonami, Yuki
Aoshima, Hiroyuki
Matsukura, Gaku
Matsunari, Masayoshi
Takabayashi, Rumi
Ozeki, Mariko
Ukigai, Hiroshi
Takeuchi, Ryosuke
Takeuchi, Kazuhiko
author_sort Kanda, Takahiro
collection PubMed
description Acute type A aortic dissection is a potentially fatal disease, and emergency surgery should be considered when it is diagnosed. We herein report two cases of retrograde type A aortic dissection with intramural hematoma, followed by re-dissection, rupture, and cardiac tamponade. The diagnoses in these cases had to be made carefully, as the false lumen of the ascending aorta was sometimes unclear on contrast-enhanced computed tomography.
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spelling pubmed-85456502021-10-29 Difficulty Diagnosing Retrograde Type A Aortic Dissection with Intramural Hematoma and Risk of Re-dissection and Rupture: A Report of Two Cases Kanda, Takahiro Tawarahara, Kei Nakamura, Naoki Tokonami, Yuki Aoshima, Hiroyuki Matsukura, Gaku Matsunari, Masayoshi Takabayashi, Rumi Ozeki, Mariko Ukigai, Hiroshi Takeuchi, Ryosuke Takeuchi, Kazuhiko Intern Med Case Report Acute type A aortic dissection is a potentially fatal disease, and emergency surgery should be considered when it is diagnosed. We herein report two cases of retrograde type A aortic dissection with intramural hematoma, followed by re-dissection, rupture, and cardiac tamponade. The diagnoses in these cases had to be made carefully, as the false lumen of the ascending aorta was sometimes unclear on contrast-enhanced computed tomography. The Japanese Society of Internal Medicine 2021-04-12 2021-10-01 /pmc/articles/PMC8545650/ /pubmed/33840696 http://dx.doi.org/10.2169/internalmedicine.7009-21 Text en Copyright © 2021 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Kanda, Takahiro
Tawarahara, Kei
Nakamura, Naoki
Tokonami, Yuki
Aoshima, Hiroyuki
Matsukura, Gaku
Matsunari, Masayoshi
Takabayashi, Rumi
Ozeki, Mariko
Ukigai, Hiroshi
Takeuchi, Ryosuke
Takeuchi, Kazuhiko
Difficulty Diagnosing Retrograde Type A Aortic Dissection with Intramural Hematoma and Risk of Re-dissection and Rupture: A Report of Two Cases
title Difficulty Diagnosing Retrograde Type A Aortic Dissection with Intramural Hematoma and Risk of Re-dissection and Rupture: A Report of Two Cases
title_full Difficulty Diagnosing Retrograde Type A Aortic Dissection with Intramural Hematoma and Risk of Re-dissection and Rupture: A Report of Two Cases
title_fullStr Difficulty Diagnosing Retrograde Type A Aortic Dissection with Intramural Hematoma and Risk of Re-dissection and Rupture: A Report of Two Cases
title_full_unstemmed Difficulty Diagnosing Retrograde Type A Aortic Dissection with Intramural Hematoma and Risk of Re-dissection and Rupture: A Report of Two Cases
title_short Difficulty Diagnosing Retrograde Type A Aortic Dissection with Intramural Hematoma and Risk of Re-dissection and Rupture: A Report of Two Cases
title_sort difficulty diagnosing retrograde type a aortic dissection with intramural hematoma and risk of re-dissection and rupture: a report of two cases
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8545650/
https://www.ncbi.nlm.nih.gov/pubmed/33840696
http://dx.doi.org/10.2169/internalmedicine.7009-21
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