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J Thorac Cardiovasc Surg 2007;134:1048-1049
© 2007 The American Association for Thoracic Surgery


Brief Communication

Successful surgical management of acute type A aortic dissection associated with Crohn disease

John G.T. Augoustides, MD, FASEa,*, Alberto Pochettino, MDb, Reed E. Pyeritz, MD, PhDc

a Cardiothoracic Section, Anesthesiology and Critical Care, University of Pennsylvania School of Medicine, Philadelphia, Pa
b Cardiothoracic Surgery, University of Pennsylvania School of Medicine, Philadelphia, Pa
c Division of Medical Genetics, Department of Medicine, University of Pennsylvania School of Medicine, Philadelphia, Pa.

Received for publication May 2, 2007; accepted for publication May 23, 2007.

* Address for reprints: John G. T. Augoustides, MD, FASE, Cardiothoracic Section, Anesthesiology and Critical Care, Dulles 680, HUP, 3400 Spruce St, Philadelphia, PA 19104-4283. (Email: yiandoc@hotmail.com).

The first 20% of the full text of this article appears below.

Crohn disease can involve the aorta. The associated aortitis can cause aortic regurgitation, aortic aneurysm, branch vessel occlusion, and aortic mural thrombus.1-4Go The aortic inflammation not only weakens the arterial wall, but it might also predispose to aortic dissection. We present a case of acute type A aortic dissection in a young woman with established Crohn disease. To the best of our knowledge, this is the first report of this thoracic aortic presentation as a manifestation of extraintestinal Crohn disease.

Clinical Summary

A 35-year-old woman with longstanding Crohn disease presented to the emergency department with acute chest pain radiating to her jaw. On physical examination, she had no pulse deficits, no arterial bruits, and an . . . [Full Text of this Article]







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