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Interact Cardiovasc Thorac Surg · Sep 2010
Case ReportsAcute aortic syndrome: a 'last glance' before incision.
- Guillaume Lebreton, Pierre-Yves Litzler, Jean-Paul Bessou, and Fabien Doguet.
- Department of Thoracic and Cardiovascular Surgery, Rouen University Hospital, 1, rue de Germont, 76000 Rouen, France. guillaumelebreton@live.fr
- Interact Cardiovasc Thorac Surg. 2010 Sep 1; 11 (3): 357-9.
AbstractAcute aortic syndrome (AAS) (aortic dissection, intramural aortic haematoma, or penetrating atherosclerotic ulcer) is a surgical emergency. Computed tomography (CT) is the reference technique for the diagnosis of this critical situation. However, a few reports of false-positive images leading to unnecessary interventions have been published. It is important to recognize and understand the pitfalls in the CT diagnosis of AAS. We describe the case of a 76-year-old man with clinical signs of AAS and a CT-scan compatible with a diagnosis of aortic intra-mural haematoma, leading to emergency surgery. The peroperative findings revealed a normal aortic wall with the presence of an unusual pericardial recess at the right side of the aorta.
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