آنوريس دسكانت آيورت صعودي و گزارش يك مورد تشخيص داده نشده به مدت 17 سال

A CASE. REPORT OF CHRONIC AORTIC DISSECTION

Chronic aortic dissection is a sequle of untreated, asymptomatic acute aortic dissection when the process is more than 14 days old . chronic aortic dissection usually is asymptomatic .This case is a 65 years old man with history of severe blunt chest trauma 17 years ago that admited in cardiovascular augury ward with chest pain , dyspnea and syncope from 5 months ago. In physical examination positive findings was grade III regurgitant aortic murmur and colapsing pulse. In investigations diagnosis was ascending aortic aneurysm with severe aortic regurgitant and abdominal aortic aneurysm. In surgical exploration diagnosis was chronic aortic dissection type I Debakey.Operative technique was replacement of entire ascending aortic with dacron graft and repair of aortic valve .After operation patient .become asymptomatic with trivial aortic regurgitation and abdominal aortic aneurysm collapsed due to collapse of false lumen.