Ibrahim Hannoun1, Albaraa Bara1. 1. Faculty of Medicine, Damascus University, Damascus, Syrian Arab Republic.
Abstract
INTRODUCTION: and importance: Dissected saccular aneurysm of the ascending aorta is an extremely rare clinical entity. It has a greater risk for rupture due to its different histological structure compared to other forms of aneurysms; hence, it mandates urgent management. CASE PRESENTATION: A 64-year-old retired pilot was referred to our hospital complaining of vague chest pain along with numbness in his upper limbs, Chest X-ray showed widening of the upper mediastinum, and transesophageal echocardiography showed a dilated ascending aorta measuring 7.5 cm. CLINICAL DISCUSSION: Transesophageal echocardiography and CT angiography confirmed the presence of a dissected saccular aneurysm in the ascending aorta, along with a dissection of the aorta that spanned the area between the dissected saccular aneurysm and the root of the innominate artery. As a surgical management, the ascending aorta was replaced with Dacron graft, the postoperative period was uneventful. CONCLUSION: We report this case to highlight that surgical repair should be offered immediately when a dissected saccular aneurysm is diagnosed.
INTRODUCTION: and importance: Dissected saccular aneurysm of the ascending aorta is an extremely rare clinical entity. It has a greater risk for rupture due to its different histological structure compared to other forms of aneurysms; hence, it mandates urgent management. CASE PRESENTATION: A 64-year-old retired pilot was referred to our hospital complaining of vague chest pain along with numbness in his upper limbs, Chest X-ray showed widening of the upper mediastinum, and transesophageal echocardiography showed a dilated ascending aorta measuring 7.5 cm. CLINICAL DISCUSSION: Transesophageal echocardiography and CT angiography confirmed the presence of a dissected saccular aneurysm in the ascending aorta, along with a dissection of the aorta that spanned the area between the dissected saccular aneurysm and the root of the innominate artery. As a surgical management, the ascending aorta was replaced with Dacron graft, the postoperative period was uneventful. CONCLUSION: We report this case to highlight that surgical repair should be offered immediately when a dissected saccular aneurysm is diagnosed.
Authors: Eric K Shang; Derek P Nathan; William W Boonn; Ivan A Lys-Dobradin; Ronald M Fairman; Edward Y Woo; Grace J Wang; Benjamin M Jackson Journal: J Vasc Surg Date: 2012-11-03 Impact factor: 4.268