Segmental Arterial Mediolysis in a Patient With Ascending Aorta Dilatation

César Jiménez-Méndez, MD; Ana Pérez-Asensio, MD; Livia Gheorghe, MD, PhD; William Delgado Nava, MD; Rafael Vázquez-García, MD, PhD

JACC: Case Reports (Mar 2024)

Segmental Arterial Mediolysis in a Patient With Ascending Aorta Dilatation

César Jiménez-Méndez, MD,
Ana Pérez-Asensio, MD,
Livia Gheorghe, MD, PhD,
William Delgado Nava, MD,
Rafael Vázquez-García, MD, PhD

Affiliations

César Jiménez-Méndez, MD: Address for correspondence: Dr César Jiménez-Méndez, Hospital Universitario Puerta del Mar, Av/ Ana de Viya 21, 11009 Cádiz, Spain.; Cardiology Department, Hospital Universitario Puerta del Mar, Cádiz, Spain
Ana Pérez-Asensio, MD: Cardiology Department, Hospital Universitario Puerta del Mar, Cádiz, Spain
Livia Gheorghe, MD, PhD: Cardiology Department, Hospital Universitario Puerta del Mar, Cádiz, Spain
William Delgado Nava, MD: Cardiology Department, Hospital Universitario Puerta del Mar, Cádiz, Spain
Rafael Vázquez-García, MD, PhD: Cardiology Department, Hospital Universitario Puerta del Mar, Cádiz, Spain

Journal volume & issue: Vol. 29, no. 5
p. 102235

Abstract

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A 70-year-old woman consulted us for dyspnea. Echocardiography revealed moderate aortic regurgitation secondary to ascending aorta dilatation. Study was completed with aortic angiography computed tomography, showing stenosis and dissection of several visceral arteries. There were no abnormal inflammatory or autoimmune markers, nor fluorine-18-fluorodeoxyglucose positron emission tomography uptake. Segmental arterial mediolysis was diagnosed.

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

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Abstract

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