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Ann Thorac Surg 2000;69:1931-1932
© 2000 The Society of Thoracic Surgeons

Case reports

Aortic dissection in a weight lifter with nodular fasciitis of the aorta

Daniel N. Gwan-Nulla, MDa, William R. Davidson, Jr, MDb, Ronald T. Grenko, MDc, Ralph J. Damiano, Jr, MDa

a Division of Surgery, Penn State Geisinger Health System, Pennsylvania State University, Hershey, Pennsylvania, USA
b Division of Medicine, Penn State Geisinger Health System, Pennsylvania State University, Hershey, Pennsylvania, USA
c Division of Pathology, Penn State Geisinger Health System, Pennsylvania State University, Hershey, Pennsylvania, USA

Address requests for reprints to Dr Damiano, Division of Cardiothoracic Surgery, Washington University School of Medicine, 1 Barnes-Jewish Hospital Plaza, Suite 3108 Queeny Tower, St. Louis, MO 63110
e-mail: rdamiano{at}msnotes.wustl.edu

We report a case of spontaneous aortic dissection in a young weight lifter without aortic medial disease but with a myofibroblastic proliferation of the aortic adventitia consistent with nodular fasciitis. Successful treatment included ascending aorta replacement with Dacron graft and aortic valve resuspension. We believe that the underlying aortic pathology most likely contributed to the development of the aortic dissection.




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C J Hogan
An aortic dissection in a young weightlifter with non-Marfan fibrillinopathy
Emerg. Med. J., April 1, 2005; 22(4): 304 - 305.
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