Abstract
A 71-year-old Japanese woman with severe chest pain was diagnosed with Stanford type A acute aortic dissection. After 3 months of medical treatment, she was operated on under a diagnosis of dissecting aneurysm of the ascending aorta and severe aortic regurgitation. Operative findings showed prolapse, of the redundant aortic leaflets and a dilated ascending aorta without intimal tears. Operative and computed tomography findings differed from those of a classical dissection which was the primary diagnosis of this patient, and were compatible with a diagnosis of aortic intramural hematoma (IMH). Few reports of IMH include concomitant aortic regurgitation. Surgery involved aortic root remodeling and prosthetic graft replacement of the ascending aorta.
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Inoue, Y., Kiso, I., Takahashi, R. et al. Aortic intramural hematoma with severe aortic regurgitation. Jpn J Thorac Caridovasc Surg 51, 198–200 (2003). https://doi.org/10.1007/s11748-003-0031-6
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DOI: https://doi.org/10.1007/s11748-003-0031-6