Stanford Type A Aortic Dissection in a Hypertensive Patient with Atherosclerosis of Aorta and Aortitis

Dissection of aorta is a serious condition; the main factors are hypertension and diseases of the connective tissue or of collagen. Aortitis syndrome in combination with hypertension and atherosclerosis in association with ascending aortic dissection is rarely seen. We present the case of a 53‐year‐...

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Bibliographic Details
Published in:Echocardiography (Mount Kisco, N.Y.) N.Y.), 2000-02, Vol.17 (2), p.181-185
Main Authors: BEDELEANU, DANIELA, COMAN, CATLIN, ENCICA, SVETLANA, HAGIU, RADU, MOLNAR, ADRIAN, CAPALNEANU, RADU
Format: Article
Language:English
Subjects:
Aneurysm, Dissecting - complications
Aneurysm, Dissecting - diagnosis
Aneurysm, Dissecting - surgery
Aortic Aneurysm, Thoracic - complications
Aortic Aneurysm, Thoracic - diagnosis
Aortic Aneurysm, Thoracic - surgery
aortitis
Aortitis - complications
Aortitis - diagnosis
Arteriosclerosis - complications
Arteriosclerosis - diagnosis
Biopsy
Blood Vessel Prosthesis Implantation
Diagnosis, Differential
Echocardiography, Doppler, Color
Echocardiography, Transesophageal
Humans
Hypertension - complications
Male
Middle Aged
Stanford type A aortic dissection
Thoracoscopy
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Summary:Dissection of aorta is a serious condition; the main factors are hypertension and diseases of the connective tissue or of collagen. Aortitis syndrome in combination with hypertension and atherosclerosis in association with ascending aortic dissection is rarely seen. We present the case of a 53‐year‐old hypertensive patient whose ascending aortic dissection was associated with pericardial effusion without rupture of the aorta and with pleural effusion. Several unusual aspects of transesophageal echocardiography are described. The intraoperative biopsy revealed inflammatory aortitis with mural hematoma, without giant cells. The literature concerning aortic dissection and aortitis is reviewed.
ISSN:0742-2822
1540-8175
DOI:10.1111/j.1540-8175.2000.tb01122.x