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Spontaneous Rupture of the Ascending Aorta;Report of a Case Yoshihisa Nakao 1 , Yuki Kubo 1 1Department of Cardiovascular Surgery, Yao Tokushukai General Hospital Keyword: spontaneous rupture of aorta , emergency operation , graft replacement pp.701-704
Published Date 2018/9/1
DOI https://doi.org/10.15106/j_kyobu71_701
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A 66-year-old woman was transferred to our hospital on an emergency basis complaining of a sudden onset of chest discomfort. An emergency contrasted computed tomography showed a ruptured the ascending aorta near the right pulmonary artery with a hematoma and notch in the aortic wall. An emergency operation of the graft replacement was performed via standard median sternotomy under the cardiac arrest with aortic clamp. Upon the operation, there was a 1.5 cm rupture site in the central portion of the ascending aorta. There was no specific evidence of aortic aneurysm or dissection, therefore a spontaneous rupture of the ascending aorta was diagnosis. The pathological finding was normal without pathological changes of cystic medial necrosis or atheroma. The postoperative course was uneventful and he was discharged 14 days after surgery.


© Nankodo Co., Ltd., 2018

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電子版ISSN 2432-9436 印刷版ISSN 0021-5252 南江堂

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