Mehmet Cengiz ÇOLAK, NEVZAT ERDİL, Ercan KAHRAMAN, Ramazan KUTLU, Bektaş BATTALOĞLU

Spontaneous Rupture of the Ascending Thoracic Aorta in Young Man

Spontaneous rupture of the aorta without previous history of trauma, hypertension or apparent aortic pathology is rare. Delayed or nonoperative repair of this condition is usually lethal. We report spontaneous rupture of the ascending thoracic aorta in young man. A 20-year-old male who had complained of sudden onset of severe chest pain and dispnea was admitted to our hospital. Initially, acute type A closing aortic dissection was suspected but computed tomography (CT) showed no intimal flap, false lumen or aortic aneurysm.

PDF

___

1. al Moussarih A, Lorillard R, Andrivet JC, Deville C, Roudaut R. Spontaneous rupture of the ascending aorta: A diagnostic and therapeutic emergency: Report of 2 cases. Arch Mal Coeur Vaiss. 1998;91(2):257-61.

2. Kuisma M, Alaspää A. Out-of-hospital cardiac arrests of non-cardiac origin. Eur Heart J. 1997;18(7):1122-8.

3. Marston WA, Ahlquist R, Johnson G Jr, Meyer AA. Misdiagnosis of ruptured abdominal aortic aneurysms. J Vasc Surg. 1992;16(1):17-22.

4. Kefer MP, Hargerten SW, Jentzen J. Death after discharge from the emergency department. Ann Emerg Med. 1994;24(6):1102-7.

5. Kürkciyan I, Meron G, Sterz F, Janata K, Domanovits H, Holzer M, Berzlanovich A, Bankl HC, Laggner AN. Pulmonary embolism as cause of cardiac arrest: presentation and outcome. Arch Intern Med. 2000;160(10):1529-35.

6. Kürkciyan I, Meron G, Sterz F, Domanovits H, Tobler K, Laggner AN, Steinhoff N, Berzlanovich A, Bankl HC. Spontaneous subarachnoid hemorrhage as a cause of out-ofhospital cardiac arrest. Resuscitation. 2001;51(1):27-32.

7. Kvilekval KHV, Best IM, Mason RA, Newton GB, Giron F. The value of computed tomography in the management of symptomatic abdominal aortic aneurysms. J Vasc Surg. 1990;12(1):28-33.

8. Cooke JP, Kazmier FJ, Orszulak TA. The penetrating aortic ulcer: pathologic manifestations, diagnosis, and management. Mayo Clin Proc. 1988;63(7):718-25.

9. Larson EW, Edwards WD. Risk factors for aortic dissection: a necropsy study of 161 cases. Am J Cardiol. 1984;53(6):849-55.

10. Mészáros I1, Mórocz J, Szlávi J, Schmidt J, Tornóci L, Nagy L, Szép L. Epidemiology and clinicopathology of aortic dissection. Chest. 2000;117(5):1271-8.