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Chronic Stanford type A aortic dissection

Raffa, Giuseppe M.a; Pilato, Michelea; Armaro, Alessandroa; Ruperto, Cettinaa; Gentile, Giovannib; Follis, Fabrizioa

Journal of Cardiovascular Medicine: December 2016 - Volume 17 - Issue - p e138–e140
doi: 10.2459/JCM.0000000000000175
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Chronic evolution of type A acute aortic dissection is not frequently observed in untreated patients because of the high mortality rate. Chronic aortic dissection is usually asymptomatic and may be incidentally discovered following an asymptomatic acute dissection. The life expectancy in these patients is prolonged by graft replacement therapy when the aortic diameter exceeds 55 mm. We report a case of a paucisymptomatic 78-year-old woman in whom chest X-ray revealed a right calcified mass.

aDepartment for the Treatment and Study of Cardiothoracic Diseases and Cardiothoracic Transplantation, Cardiac Surgery and Heart Transplantation Unit

bDepartment of Diagnostic and Therapeutic Services, Radiology Service, Mediterranean Institute for Transplantation and Advanced Specialized Therapies (IsMeTT), Palermo, Italy

Correspondence to Giuseppe M. Raffa, MD, Cardiac Surgery and Heart Transplantation Unit, Mediterranean Institute for Transplantation and Advanced Specialized Therapies (IsMeTT), Via Tricomi 5, 90127 Palermo, Italy Tel: +39 091 21 92 332; fax: +39 091 21 92 428; e-mail: giuseppe.raffa78@gmail.com

Received 26 February, 2014

Revised 20 May, 2014

Accepted 21 May, 2014

© 2016 Italian Federation of Cardiology. All rights reserved.