A 70-year-old female was hospitalized with a complaint of anterior chest pain. Enhanced CT scan demonstrated acute type A aortic dissection with the clotted false lumen. Aortography showed ulcer-like projection in the ascending aorta. The patient received the conservative medical treatment and had been followed up medically at outpatient clinic. One year later, she was admitted with the general malaise, chest discomfort and the enlargement of the mediastinum on the chest X-ray. Aortography revealed recrudescent enlarged false lumen. Graft replacement of the ascending aorta was successfully performed. Careful medical follow up should be necessary for the thrombosed Stanford type A aortic dissections.
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