SPONTANEOUS RUPTURE OF THE ASCENDING AORT A - A DIAGNOSTIC AND THERAPEUTIC EMERGENCY - 2 CASES REPORTS

The authors report two cases of spontaneous rupture of the ascending a orta complicating atheromatous disease but without traumatic or infect ious factors. The clinical presentation is very similar to that of dis section of the aorta. The diagnosis is based on non-invasive and invas ive investigations showing localised abnormalities of the aortic wall suggestive of localised dissection and haemopericardium. Surgery shows transverse tearing of the aortic wall without dissection of the media . It is a surgical emergency, the deceptive presentation of which shou ld not be missed.