Dissezione aortica senza lacerazione intimale: descrizione di un caso e revisione del problema.

Translated title of the contribution: Aortic dissection without intimal laceration: a case report and review of the problem

C. Rapezzi, R. Caporale, A. M. Traini, R. Fattori, G. Gavelli, B. Magnani

Research output: Contribution to journalArticle

Abstract

A 43-year-old hypertensive woman with symptoms of aortic dissection was referred to our hospital 3 days after the initial episode. Transesophageal echocardiography and magnetic resonance showed a large intramural hematoma of the ascending and descending aorta without intimal flap and tears. Aortography confirmed the absence of intimal disruption. Medical therapy with beta and alpha blocking agents was established. After 5 months the patient was asymptomatic. On transesophageal echocardiogram and magnetic resonance, complete reabsorption of the hematoma of descending aorta was evident while a clearly identifiable false lumen and intimal flap (without tear) were present at the aortic arch level. The diagnostic criteria and therapeutic options are discussed and the literature on this topic is reviewed.

Translated title of the contributionAortic dissection without intimal laceration: a case report and review of the problem
Original languageItalian
Pages (from-to)331-336
Number of pages6
JournalCardiologia
Volume38
Issue number5
Publication statusPublished - May 1993

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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    Rapezzi, C., Caporale, R., Traini, A. M., Fattori, R., Gavelli, G., & Magnani, B. (1993). Dissezione aortica senza lacerazione intimale: descrizione di un caso e revisione del problema. Cardiologia, 38(5), 331-336.