Fatal aortic rupture presenting as chest pain in an adolescent. The role of echocardiography in occult cystic medial necrosis.

Abstract:

:An adolescent female with occult cystic medial necrosis died following spontaneous aortic rupture. A large saccular aortic aneurysm that had ruptured into the pericardial space was demonstrated by two-dimensional echocardiography and confirmed at surgery. Echocardiographic screening of the patient's family members revealed a 13-year-old brother with unsuspected aortic root dilatation. He is now being followed for possible progression of his disease. This case demonstrates the role of echocardiography in cystic medial necrosis. It can aid the acute management of patients with aortic dissection or aneurysm. It can also define patients with occult disease who require serial follow-up and genetic counseling.

journal_name

Clin Pediatr (Phila)

journal_title

Clinical pediatrics

authors

Schaffer MS,Nouri S,Chen SC,Waggoner AD,Pennington DG,Monteleone PL

doi

10.1177/000992288502400408

subject

Has Abstract

pub_date

1985-04-01 00:00:00

pages

216-8

issue

4

eissn

0009-9228

issn

1938-2707

journal_volume

24

pub_type

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