Resolution of ascending aortic dissection in a Stanford type A patient

Chee Hoe Kong; Xiao Yun Lin; Michael George Caleb; Vitaly A Sorokin

doi:10.1016/j.athoracsur.2012.12.053

Resolution of ascending aortic dissection in a Stanford type A patient

Ann Thorac Surg. 2013 Sep;96(3):1066-7. doi: 10.1016/j.athoracsur.2012.12.053.

Authors

Chee Hoe Kong¹, Xiao Yun Lin, Michael George Caleb, Vitaly A Sorokin

Affiliation

¹ Department of Cardiac, Thoracic, and Vascular Surgery, National University Heart Centre, National University Health System, Singapore.

PMID: 23992701
DOI: 10.1016/j.athoracsur.2012.12.053

Abstract

We observed an unusual natural course of a Stanford type A aortic dissection. The patient presented to the emergency department with an acute aortic dissection involving an ascending aorta and left-sided hemiparesis. The patient declined surgery and was managed conservatively. A follow-up scan after 1 month revealed that the patient had a complete spontaneous resolution of the dissection in the ascending aorta. Such a development is very rare and unexpected in patients with Stanford type A aortic dissection.

Keywords: 26.

Publication types

Case Reports
Review

MeSH terms

Aortic Aneurysm, Thoracic / diagnostic imaging*
Aortic Aneurysm, Thoracic / pathology
Aortic Aneurysm, Thoracic / therapy*
Aortic Dissection / diagnostic imaging*
Aortic Dissection / pathology
Aortic Dissection / therapy*
Combined Modality Therapy / methods
Contrast Media
Follow-Up Studies
Humans
Male
Middle Aged
Monitoring, Physiologic / methods*
Remission, Spontaneous
Tomography, X-Ray Computed / methods
Treatment Refusal

Substances

Contrast Media