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Ann Thorac Surg 2001;72:614-615
© 2001 The Society of Thoracic Surgeons

Case report

Dissection of the ascending aorta due to metastatic carcinoma

Baran S. Ugurlu, MDa, Eyüp Hazan, MDa, Özer Badak, MDb, Kutsal Yörükoglu, MDc, Öztekin Oto, MDa

a Department of Thoracic and Cardiovascular Surgery, Dokuz Eylul University Medical School, Balcova, Izmir, Turkey
b Department of Cardiology, Dokuz Eylul University Medical School, Balcova, Izmir, Turkey
c Department of Pathology, Dokuz Eylul University Medical School, Balcova, Izmir, Turkey

Accepted for publication July 21, 2000.

Address reprint requests to Dr Ugurlu, Dokuz Eylul Universitesi Tip Fakultesi, Gogus Kalp ve Damar Cerrahisi Anabilim Dali, Balcova, 35340 Izmir, Turkey
e-mail: ugurlub{at}yahoo.com

The association of aortic dissection with a malignancy is a rare finding and previous reports are usually those of primary aortic sarcomas. In this report we present a case with typical ascending aorta dissection associated with metastatic carcinoma originating from the lungs. The metastatic infiltration of the vasovasorum of the aorta by carcinoma cells may have caused aortic dissection by decreasing medial strength and integrity. This is a mechanism of aortic dissection that we have not encountered in previous reports.






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