Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Search research articles

Related Experiment Videos

Ascending aortic dissection without intimal tear: a case report.

Mehmet Kaplan¹, Fikri Yapici, Murat Erkan

¹Department of Cardiovascular Surgery, Siyami Ersek Thoracic and Cardiovascular Surgery Center, 67 Ada Kardelen 4-4, D:11 Atasehir, 81120 Istanbul, Turkey. mehmetkaplan@superonline.com

The Heart Surgery Forum

|January 23, 2003

Summary

This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Silent cerebral infarction after proximal thoracic aortic surgery under deep hypothermic circulatory arrest: an exploratory prospective DW-MRI study.

BMC cardiovascular disorders·2026

Same author

Age-Related Concentric Remodeling and Sex-Dependent Dimensional Variation in Left Ventricular Geometry: A Cardiac Magnetic Resonance Study.

Tomography (Ann Arbor, Mich.)·2026

Same author

Early and long-term results in patients undergoing combined coronary and lower extremity revascularization: a retrospective analysis.

Journal of cardiothoracic surgery·2026

Same author

The effects of short-term motivational factors and calisthenic exercise on blood cortisol levels, and symptoms of depression, anxiety, and stress in young adults: a randomized controlled trial.

BMC sports science, medicine & rehabilitation·2026

Same author

Cardiac ochronosis with severe aortic and mitral valve stenosis: a challenge case.

Journal of cardiothoracic surgery·2026

Same author

Aortic pseudoaneurysm in a patient with systemic lupus erythematosus following Bentall procedure and coronary artery bypass grafting: a case report.

Journal of cardiothoracic surgery·2026

Aortic dissection can occur without an intimal tear, involving medial dissection and intramural hematoma. This case highlights that such conditions require treatment similar to classic aortic dissections.

Area of Science:

Cardiovascular Surgery
Thoracic Surgery
Vascular Surgery

Background:

Aortic dissection typically involves an intimal tear, leading to blood entering the aortic wall.
Medial dissection and intramural hematoma represent alternative pathologies within the aortic wall.

Observation:

A 79-year-old patient presented with chest pain, back pain, and mediastinal enlargement on chest X-ray.
Transthoracic echocardiography revealed significant pericardial effusion, obscuring the ascending aorta.
Computed tomography confirmed ascending aorta dissection and pericardial fluid, suggesting a ruptured dissection.

Findings:

Intraoperative findings revealed no intimal tear in the ascending aorta.
Medial dissection and intramural hemorrhage were present, with 2 liters of hemorrhagic fluid aspirated from the pericardium.

Related Experiment Videos

The ascending aorta was successfully replaced with a tube graft.

Implications:

This case demonstrates aortic dissection can occur without intimal integrity compromise.
Medial dissection and intramural hematoma warrant treatment comparable to classic aortic dissections.
Preserving intimal integrity in aortic pathologies necessitates tailored surgical approaches.