Images in emergency medicine: giant ascending aortic aneurysm dissection with hemopericardium
Journal Title: World Journal of Emergency Medicine - Year 2012, Vol 3, Issue 3
Abstract
BACKGROUND: Acute chest pain represents a common presentation at emergency department. Aortic dissection in young patients, however, is fortunately rare. METHODS: We report a case of giant ascending aortic aneurysm with Stanford type A aortic dissection in an otherwise well 22-year-old male patient. Operative aortic valve and root replacement was undertaken with favourable outcome. RESULTS: Histopathologic examination of the resected aorta revealed acute on chronic infl ammatory change with Langerhans type giant cells consistent with a diagnosis of giant cell aortitis. CONCLUSION: While uncommon, emergencies of the aorta may present in young patients. Predisposing conditions are discussed.
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