Spontaneous rupture of the ascending aorta

Spontaneous rupture of the ascending aorta INTRODUCTIONAscending aortic rupture is generally a sequel of a preexisting aneurysm that may or may not be associated with a connective tissue disorder. The rate of rupture for untreated thoracic aortic aneurysm ranges from 21% to 74%. Spontaneous ascending aortic rupture occurring without prior aortic or connective tissue disease is a rare and unpredictable phenomenon with only 40 cases reported in literature. The aortic diameter does not always correlate with the risk of rupture in these patients. Aortic dimensions change throughout life according to gender, segment, and body morphology that complicates the ability to reliably predict a “point of rupture” for ascending aortic disease.Spontaneous ascending aortic rupture is associated with a mortality rate of 57%. Time is critical in these patients as any delay in surgery is a major contributor to morbidity and mortality.We describe a series of patients who presented to our hospital with non‐traumatic, spontaneous ascending aortic rupture from 2012 to 2017. These cases highlight the importance of timely imaging and a high index of suspicion to quickly and accurately establish a diagnosis. They further emphasize the importance of a multidisciplinary aortic emergency team in expediting the transfer of a confirmed rupture patient to the operating room http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Cardiac Surgery Wiley

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Publisher
Wiley Subscription Services, Inc., A Wiley Company
Copyright
© 2018 Wiley Periodicals, Inc.
ISSN
0886-0440
eISSN
1540-8191
D.O.I.
10.1111/jocs.13535
Publisher site
See Article on Publisher Site

Abstract

INTRODUCTIONAscending aortic rupture is generally a sequel of a preexisting aneurysm that may or may not be associated with a connective tissue disorder. The rate of rupture for untreated thoracic aortic aneurysm ranges from 21% to 74%. Spontaneous ascending aortic rupture occurring without prior aortic or connective tissue disease is a rare and unpredictable phenomenon with only 40 cases reported in literature. The aortic diameter does not always correlate with the risk of rupture in these patients. Aortic dimensions change throughout life according to gender, segment, and body morphology that complicates the ability to reliably predict a “point of rupture” for ascending aortic disease.Spontaneous ascending aortic rupture is associated with a mortality rate of 57%. Time is critical in these patients as any delay in surgery is a major contributor to morbidity and mortality.We describe a series of patients who presented to our hospital with non‐traumatic, spontaneous ascending aortic rupture from 2012 to 2017. These cases highlight the importance of timely imaging and a high index of suspicion to quickly and accurately establish a diagnosis. They further emphasize the importance of a multidisciplinary aortic emergency team in expediting the transfer of a confirmed rupture patient to the operating room

Journal

Journal of Cardiac SurgeryWiley

Published: Jan 1, 2018

Keywords: ; ;

References

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