Int J Angiol 2019; 28(01): 031-033
DOI: 10.1055/s-0038-1675849
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Symptoms Matter: A Symptomatic but Radiographically Elusive Ascending Aortic Dissection

Dimitra Papanikolaou
1  Aortic Institute at Yale-New Haven Hospital, Yale University School of Medicine, New Haven, Connecticut
,
Mohammad A. Zafar
1  Aortic Institute at Yale-New Haven Hospital, Yale University School of Medicine, New Haven, Connecticut
,
Maryam Tanweer
1  Aortic Institute at Yale-New Haven Hospital, Yale University School of Medicine, New Haven, Connecticut
,
Mahnoor Imran
1  Aortic Institute at Yale-New Haven Hospital, Yale University School of Medicine, New Haven, Connecticut
,
Mohamed Abdelbaky
1  Aortic Institute at Yale-New Haven Hospital, Yale University School of Medicine, New Haven, Connecticut
,
Bulat A. Ziganshin
1  Aortic Institute at Yale-New Haven Hospital, Yale University School of Medicine, New Haven, Connecticut
2  Department of Surgical Diseases 2, Kazan State Medical University, Kazan, Russia
,
John A. Elefteriades
1  Aortic Institute at Yale-New Haven Hospital, Yale University School of Medicine, New Haven, Connecticut
› Author Affiliations
Source of Funding None.
Further Information

Publication History

Publication Date:
29 November 2018 (eFirst)

Abstract

Symptoms attributable to a thoracic aortic aneurysm (TAA) are a separate indication for prophylactic repair, irrespective of aortic size. We present the case of a 56-year-old female with a history of a thoracic ascending aortic aneurysm (TAAA) and four other heart and arch vessel abnormalities who presented to us with chest pain radiating to her back. Computed Tomography and echocardiography showed no evidence of a dissection and revealed a maximal ascending aortic diameter of 4.2 cm. The patient subsequently underwent root-sparing ascending aortic and hemiarch replacement due to her threatening symptomatology. A focal dissection was discovered intraoperatively, resembling a similar case previously reported by our team.