Acute type A aortic dissection associated with an aortic annular abscess

We describe a 66-year-old woman who underwent open heart surgery because of congestive heart failure. During operation, we found a Stanford type A dissection and an aortic ring abscess, which had burst into the aortic lumen. No other entries were found. Pathological examination showed excessive neut...

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Bibliographic Details
Published in:	The Annals of thoracic surgery Vol. 72; no. 6; pp. 2136 - 2137
Main Authors:	Niitsuma, Yuriko, Takahara, Yoshiharu, Sudo, Yoshio, Nakano, Hideyuki
Format:	Journal Article
Language:	English
Published:	Netherlands Elsevier Inc 01-12-2001
Subjects:	Abscess - pathology Abscess - surgery Aged Aneurysm, Dissecting - pathology Aneurysm, Dissecting - surgery Aortic Aneurysm, Thoracic - pathology Aortic Aneurysm, Thoracic - surgery Aortic Valve - pathology Aortic Valve - surgery Aortic Valve Stenosis - pathology Aortic Valve Stenosis - surgery Blood Vessel Prosthesis Implantation Endocarditis, Bacterial - pathology Endocarditis, Bacterial - surgery Female Heart Failure - pathology Heart Failure - surgery Heart Valve Prosthesis Implantation Humans 26
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Summary:	We describe a 66-year-old woman who underwent open heart surgery because of congestive heart failure. During operation, we found a Stanford type A dissection and an aortic ring abscess, which had burst into the aortic lumen. No other entries were found. Pathological examination showed excessive neutrophil infiltration in the aortic root. We strongly suspect that the abscess produced the intimal tear to cause the aortic dissection.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	0003-4975 1552-6259
DOI:	10.1016/S0003-4975(01)02660-1