Non-aneurysmal abdominal aortic rupture in a patient with Marfan syndrome. (September 2016)

• Record Type: Journal Article
• Authors: Ng, Eugene; Tewksbury, Robert; Choong, Andrew MTL; Walker, Philip J; Aziz, Maged
• Is Part Of: Asian cardiovascular & thoracic annals. Volume 24:Number 7(2016)
• Page Start: 703
• Page End: 706
• Publication Date: 2016-09
• Subjects: Aorta -- Aortic aneurysm -- abdominal -- Blood vessel prosthesis implantation -- Marfan syndrome; Heart -- Diseases -- Asia -- Periodicals; Heart -- Diseases -- Pacific Area -- Periodicals; Heart -- Diseases -- Periodicals; Heart -- Surgery -- Asia -- Periodicals; Heart -- Surgery -- Pacific Area -- Periodicals; Heart -- Surgery -- Periodicals; Chest -- Surgery -- Asia -- Periodicals; Chest -- Surgery -- Pacific Area -- Periodicals; Chest -- Surgery -- Periodicals; 617.412
• DOI: 10.1177/0218492315593225
• Languages: English
• ISSNs: 0218-4923

Abstract

Aortic rupture in the presence of aneurysmal disease is well understood and extensively described in the literature. However, aortic rupture in a non-aneurysmal aorta is far less common. In the few reported cases, perforations are believed to result from a penetrating atheromatous ulcer of the aorta. We describe a rare case of non-aneurysmal aortic rupture in a 68-year-old man with Marfan syndrome and a history of proximal aortic surgery. The urgent need for hemorrhage control precluded any consideration of an endovascular repair.