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KMID : 0368119990290060630
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Korean Circulation Journal
1999 Volume.29 No. 6 p.630 ~ p.634
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Small Circumscribed Aortic Dissection Complicating Annuloaortic Ectasia in a Non-Marfanoid Patient
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1박태호/1Tae Ho Park
1차광수/1서인아/1윤욱돈/1임정현/1김무현/1김영대/1김종성/2김형권/1Kwang Soo Cha/1In Ah Seo/1Uk Don Yun/1Jung Hyun Lim/1Moo Hyun Kim/1Young Dae Kim/1Jong Seong Kim/2Hyeong Kweon Kim
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Abstract
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Annuloaortic ectasia, cystic medial degeneration of the afflicted aortic wall leading to
progressive dilatation, is often accompanied by Marfan's syndrome. Some portions of
intimal flap is commonly demonstrated along the aorta in the nininvasive diagnosis of
aortic dissection. We report the first case of circumscribed aortic dissection developed in
a 28 year old obese non-Marfanoid patient. He was transferred after thrombolytic
therapy at a community hospital because of severe chest pain and ST segment
elevation. Transthoracic echocardiography showed markedly dilated aortic root, moderate
amount of pericardial effusion, mild aortic regurgitation in spite of normal regional wall
motion of left ventricle. Intimal flap, characteristic of aortic dissection, was not seen
with computed tomography. Intimal tear was demonstrated just above aortic valve only
by transesophageal echocardiography. Two parallel intimal tear and small circumscribed
dissection was demonstrated by autopsy.
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