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Interact CardioVasc Thorac Surg 2007;6:255-256. doi:10.1510/icvts.2006.149187
© 2007 European Association of Cardio-Thoracic Surgery
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Wan Ki Baek
Yong Han Yoon
Kwang Ho Kim
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Case report - Vascular thoracic

Recurrent type B intramural hematoma progressed into type A acute aortic dissection in a young otherwise healthy woman: are there unknown background factors?

Wan Ki Baek*, Yong Han Yoon, Joung Taek Kim and Kwang Ho Kim

Department of Thoracic and Cardiovascular Surgery, Inha University Hospital 7-206, 3-Ga, Shinheung-Dong, Jung-Ku Incheon 400-103, South Korea

*Corresponding author. Tel.: +82-32-890-2127; Fax: +82-32-890-3099.

E-mail address: wkbaek{at}inha.ac.kr (W.K. Baek).

Intramural hematoma is reported with increasing frequency but the recurrence after complete resolution is rarely reported. We herewith describe a case of type B intramural hematoma in an otherwise healthy 39-year-old woman showing unusual clinical course in which acute aortic dissection developed three months after complete resolution of intramural hematoma. The case clearly reminded us of the potential of intramural hematoma for recurrence and progression to frank aortic dissection even after complete resolution.

Key Words: Intramural hematoma; Aortic dissection; Recurrence


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