Cardiovascular Surgery and Interventions 2015, Vol 2, Num 3 Page(s): 072-074
Neck ecchymosis: a rare symptom in a ruptured thoracic aorta dissection

Abdülkadir Ercan1, Orçun Gürbüz1, Gencehan Kumtepe1, İlker Hasan Karal2, Yusuf Velioğlu3, Hakan Özkan4, Serdar Ener5

1Department of Cardiovascular Surgery, Medical Faculty of Balıkesir University, Balıkesir, Turkey
2Department of Cardiovascular Surgery, Samsun Training and Research Hospital, Samsun, Turkey
3Department of Cardiovascular Surgery, Medical Park Uşak Hospital, Uşak, Turkey
4Department of Cardiology, Medical Faculty of Bahçeşehir University, İstanbul, Turkey
5Department of Cardiovascular Surgery, Acıbadem Bursa Hospital, İstanbul, Turkey

Keywords: Neck ecchymosis; ruptured thoracic aortic dissection; thoracic endovascular aortic aneurysm repair
A 73-year-old woman was admitted to the emergency room with sudden onset of neck swelling, ecchymosis, and chest pain. Computed tomography revealed a ruptured type B dissection and mediastinal hematoma extending towards the neck. The patient underwent emergent endovascular repair and the procedure was accomplished without any signs of endoleak. She was discharged on the fourth postoperative day and has been followed for 50 months without any complaints.

DOI : 10.5606/e-cvsi.2015.331