Aortic rupture into the esophagus during angiography.

A 67-year-old woman was examined and found to have symptoms and chest roentgenogram suggesting acute aortic dissection. During emergency angiography, massive upper gastrointestinal bleeding developed, and the woman died. The angiogram showed a raised intimal flap of acute dissecting aneurysm. Postmortem examination showed extensive cystic medial necrosis, aortic dilation, and an unusual combination of anatomic abnormalities, which explained the previously unreported false-positive intimal flap. The site of aortic rupture was not localized, but a large tear was found in the esophagus.

[1]  H. Spitz,et al.  Roentgen findings in aorto-enteric fistulae. , 1976, AJR. American journal of roentgenology.

[2]  J. Monro,et al.  Intraoesophageal rupture of a thoracic aortic aneurysm. , 1975, The Journal of cardiovascular surgery.

[3]  K. Ranniger,et al.  Roentgenographic evaluation of dissecting aneurysms of the aorta. , 1974, The American journal of roentgenology, radium therapy, and nuclear medicine.

[4]  R. Dinsmore,et al.  Roentgen diagnosis of aortic disease. , 1973, Progress in cardiovascular diseases.

[5]  W. H. Shuford,et al.  Problems in the aortographic diagnosis of dissecting aneurysm of the aorta. , 1969, The New England journal of medicine.

[6]  A. Becker,et al.  Histologic changes in the normal aging aorta: implications for dissecting aortic aneurysm. , 1977, The American journal of cardiology.

[7]  I. Gore,et al.  Dissecting aneurysm of the aorta. , 1973, Cardiovascular clinics.

[8]  M. J. Ferguson,et al.  Gastrointestinal hemorrhage secondary to rupture of aorta. A review of four duodenal and three esophageal cases. , 1966, Archives of internal medicine.