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Aortic root subadventitial hematoma

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Abstract

A 51-year-old woman was operated on for aortic valve regurgitation 3 months after experiencing chest tightness awakening her from sleep. Intraoperative findings included turbid dark brown pericardial fluid and a nipple-shaped protrusion on the external aspect of the noncoronary sinus of Valsalva. Histologically, the lesion was enclosed by intact media and adventitia, and represented an organized hematoma. Dilated venules noted adjacent to the lesion were suggestive of an intramural hemangioma. The etiology of this lesion is unclear, but it might be an unusual type of intramural hematoma (IMH) and gives us a hint of an origin of IMH.

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Authors and Affiliations

  1. Department of Cardiovascular Surgery, Faculty of Medicine, Oita University, Hasama-machi, Oita, 879-5593, Japan

    Shinji Miyamoto, Tetsuo Hadama, Eriko Iwata, Hirofumi Anai, Tomoyuki Wada, Hideyuki Tanaka & Hirotsugu Hamamoto

  2. Department of Emergency Medicine, Faculty of Medicine, Oita University, Oita, Japan

    Hidenori Sako

  3. Department of Pathology, Faculty of Medicine, Oita University, Oita, Japan

    Naoki Hijiya

Authors
  1. Shinji Miyamoto
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  2. Tetsuo Hadama
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  3. Eriko Iwata
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  4. Hirofumi Anai
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  5. Hidenori Sako
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  6. Tomoyuki Wada
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  7. Hideyuki Tanaka
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  8. Hirotsugu Hamamoto
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  9. Naoki Hijiya
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Corresponding author

Correspondence to Shinji Miyamoto.

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Miyamoto, S., Hadama, T., Iwata, E. et al. Aortic root subadventitial hematoma. Heart Vessels 22, 136–138 (2007). https://doi.org/10.1007/s00380-006-0946-9

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  • DOI: https://doi.org/10.1007/s00380-006-0946-9

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