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Updated: May 7, 2026

Novel and Innovative Hybrid Technique for Type A Aortic Dissection
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Published on: March 28, 2025

Nontraumatic ascending aortic disruption.

Richard Y Highbloom1, Yosef Y Schwartz1, Michael Rosenbloom1

  • 1Division of Cardiothoracic Surgery, Department of Surgery, Cooper University Hospital of Rowan University, Camden, New Jersey.

The Annals of Thoracic Surgery
|October 4, 2013
PubMed
Summary

A spontaneous ascending aortic disruption occurred in a patient without typical risk factors. This rare case highlights the importance of considering aortic emergencies even in the absence of hypertension or trauma.

Keywords:
26

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Area of Science:

  • Cardiology
  • Vascular Surgery
  • Medical Case Reports

Background:

  • Ascending aortic disruption is a rare and life-threatening condition.
  • Risk factors typically include hypertension, connective tissue disorders, and trauma.
  • Spontaneous cases without identifiable risk factors are exceptionally uncommon.

Observation:

  • A 54-year-old male presented with acute chest and back pain, and shortness of breath.
  • He had no history of hypertension, smoking, trauma, or medication use.
  • Computed tomographic angiography revealed a hemorrhagic pericardial effusion and an ascending aortic pseudoaneurysm.

Findings:

  • The patient underwent emergent surgical repair of the ascending aorta.
  • Histopathology of the aortic tissue was unremarkable.
  • The case represents a spontaneous ascending aortic pseudoaneurysm without predisposing conditions.

Implications:

  • This case underscores the need for prompt diagnosis of aortic emergencies.
  • It expands the differential diagnosis for spontaneous aortic events.
  • Highlights the importance of advanced imaging in evaluating acute chest pain.