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Ann Thorac Surg 1992;53:886-888
© 1992 The Society of Thoracic Surgeons

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Articles

Aortic dissection without intimal rupture: Diagnosis and management

Division of Cardiovascular and Thoracic Surgery, University Hospital, University of Western Ontario, London, Ontario, Canada

Accepted for publication August 29, 1991.

^_* Address reprint requests to Dr Menkis, Cardiovascular and Thoracic Surgery, University Hospital. 339 Windermere Rd, London, Ont, N6A 5A5 Canada.

A 59-year-old man had symptoms of aortic dissection. Computed tomography and angiography showed a large intramural hematoma of the ascending and descending aorta without intimal defect or false lumen. The hematoma resolved completely within 7 weeks with medical treatment. His symptoms recurred 6 months later. Computed tomography and angiography demonstrated a type B dissection with a false lumen and an intimal defect. This case illustrated the progressive nature of aortic dissection without intimai rupture. The diagnostic criteria and therapeutic options are discussed.

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