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Difficulty Diagnosing Retrograde Type A Aortic Dissection with Intramural Hematoma and Risk of Re-dissection and Rupture: A Report of Two Cases |
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| Authors: | Takahiro Kanda Kei Tawarahara Naoki Nakamura Yuki Tokonami Hiroyuki Aoshima Gaku Matsukura Masayoshi Matsunari Rumi Takabayashi Mariko Ozeki Hiroshi Ukigai Ryosuke Takeuchi Kazuhiko Takeuchi |
| Institution: | 1.Department of Internal Medicine, Division of Cardiology, Hamamatsu Red Cross Hospital, Japan |
| Abstract: | Acute type A aortic dissection is a potentially fatal disease, and emergency surgery should be considered when it is diagnosed. We herein report two cases of retrograde type A aortic dissection with intramural hematoma, followed by re-dissection, rupture, and cardiac tamponade. The diagnoses in these cases had to be made carefully, as the false lumen of the ascending aorta was sometimes unclear on contrast-enhanced computed tomography. |
| Keywords: | retrograde type A aortic dissection ulcer-like projection cardiac tamponade contrast-enhanced CT |