Ruptured giant aneurysm of the ascending aorta caused by chronic aortic dissection.
ABSTRACT A 55-year-old man developed acute chest pain and dyspnea. Computed tomography demonstrated a rupture of a giant aneurysm of the ascending aorta. The lesion was 14 cm in diameter--the largest ever reported-and resulted from chronic aortic dissection. The patient did not have aortic insufficiency or aortic dissection around the coronary ostium. Graft replacement of the ascending aorta was performed successfully under deep hypothermia with right hemisphere perfusion.
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ABSTRACT: We report on an 81-year-old woman who presented to hospital with effort dyspnea and leg edema. Transthoracic echocardiography revealed normal left ventricular function but marked dilated ascending aorta with an intimal flap in the proximal ascending aorta, severe tricuspid regurgitation, and severe pulmonary hypertension. Contrast enhanced multi-slice computerized tomography of the chest was performed for detailed evaluation of aortic dissection and this also showed the intimal flap of the ascending aortic dissection (DeBakey type II) and giant ascending aorta (10.5 cm) compressing the main and right pulmonary artery. This is the first case where chronic right heart failure is caused by chronic aortic dissection.Journal of Cardiology Cases 02/2013; 7(2):e57–e59. DOI:10.1016/j.jccase.2012.11.002