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- S Günther, H Mudra, A Reichelt, N Khaladj, C Hagl, and M Pichlmaier.
- Herzchirurgische Klinik und Poliklinik, Klinikum der Universität München (LMU), Marchioninistr. 15, 81377, München, Deutschland, sabina.guenther@med.uni-muenchen.de.
- Internist (Berl). 2014 Oct 1; 55 (10): 1209-13.
AbstractA 41-year-old physically active man with no significant past medical history presented with sudden thoracic pain. The patient was referred to the next tertiary care hospital. A CT scan showed an ectasia of the ascending aorta with irregularities of the aortic wall without dissection. Despite initial refusal, the patient was referred to a university hospital with experience in aortic surgery. A triphase ECG-synchronized cardiothoracic flash protocol performed on a 256 line CT scanner confirmed an aortic intramural hematoma and a covered aortic perforation. Shortly afterwards the patient collapsed and had to be resuscitated.
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