An atypical case of Stanford type-A chronic aortic dissection managed conservatively

Echocardiography. 2019 Oct;36(10):1936-1940. doi: 10.1111/echo.14493. Epub 2019 Oct 1.

Abstract

Stanford type-A aortic dissection is a clinical emergency; mortality is high, and surgery is urgently required in most cases. Chronic forms of type-A dissection are rare and have a poor prognosis if not treated surgically. We present an unusual case of chronic type-A aortic dissection, with silent onset, in an oncologic patient without risk factors, which was managed conservatively and remained substantially stable during follow-up.

Keywords: aortic dissection; conservative management.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aorta / diagnostic imaging
  • Aortic Aneurysm, Thoracic / complications*
  • Aortic Aneurysm, Thoracic / diagnostic imaging
  • Aortic Aneurysm, Thoracic / therapy*
  • Aortic Dissection / complications*
  • Aortic Dissection / diagnostic imaging
  • Aortic Dissection / therapy*
  • Chronic Disease
  • Conservative Treatment / methods*
  • Echocardiography / methods
  • Fatal Outcome
  • Humans
  • Male
  • Pancreatic Neoplasms / complications*
  • Tomography, X-Ray Computed / methods