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Ann Thorac Surg 2001;72:2136-2137
© 2001 The Society of Thoracic Surgeons

Case report

Acute type A aortic dissection associated with an aortic annular abscess

Yuriko Niitsuma, MD*a, Yoshiharu Takahara, MDa, Yoshio Sudo, MDa, Hideyuki Nakano, MDa

a Division of Cardiovascular Surgery, Funabashi Municipal Medical Center, Funabashi, Chiba, Japan

Accepted for publication March 14, 2001.

* Address reprint requests to Dr Niitsuma, Division of Cardovascular Surgery, Funabashi Municipal Medical Center, 1-21-1 Kanasugi, Funabashi, Chiba, Japan 273-8588

We describe a 66-year-old woman who underwent open heart surgery because of congestive heart failure. During operation, we found a Stanford type A dissection and an aortic ring abscess, which had burst into the aortic lumen. No other entries were found. Pathological examination showed excessive neutrophil infiltration in the aortic root. We strongly suspect that the abscess produced the intimal tear to cause the aortic dissection.




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