• Internal medicine · Oct 2021

    Case Reports

    Difficulty Diagnosing Retrograde Type A Aortic Dissection with Intramural Hematoma and Risk of Re-dissection and Rupture: A Report of Two Cases.

    • Takahiro Kanda, Kei Tawarahara, Naoki Nakamura, Yuki Tokonami, Hiroyuki Aoshima, Gaku Matsukura, Masayoshi Matsunari, Rumi Takabayashi, Mariko Ozeki, Hiroshi Ukigai, Ryosuke Takeuchi, and Kazuhiko Takeuchi.
    • Department of Internal Medicine, Division of Cardiology, Hamamatsu Red Cross Hospital, Japan.
    • Intern. Med. 2021 Oct 1; 60 (19): 312131243121-3124.

    AbstractAcute 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.

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