The onset of acute type A aortic dissection following recovery of type B intramural haematoma: a case report.

Abstract:

BACKGROUND:Aortic intramural hematoma is a life-threatening condition reported with increasing frequency. It can be classified into Stanford type A or B depending on whether the ascending or descending aorta are involved, respectively. However, the onset of acute type A aortic dissection following recovery of type B intramural haematoma is rarely reported. CASE PRESENTATION:We present an uncommon case of acute Stanford type A aortic dissection developing 3 months after recovery of type B IMH in a 47-year-old female. She complained acute chest pain. The operation was successfully done. She was in good condition and asymptomatic at a 3-month follow-up. CONCLUSIONS:Type B intramural haematoma can lead to type A aortic dissection even after totally absorbed and the primary entry has the potential to be located in the ascending aorta. Unsatisfied blood pressure control may be the underlying cause.

journal_name

BMC Cardiovasc Disord

authors

Zhang K,Dong SB,Pan XD,Sun LZ

doi

10.1186/s12872-020-01440-1

subject

Has Abstract

pub_date

2020-04-06 00:00:00

pages

162

issue

1

issn

1471-2261

pii

10.1186/s12872-020-01440-1

journal_volume

20

pub_type

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