PMID: 8976356Dec 1, 1996Paper

Diagnosis and treatment of thoracic aortic intramural hematoma

Journal of Vascular Surgery
S C MulukR P Cambria

Abstract

This report reviews our recent experience with nine patients who had intramural hematoma of the thoracic aorta. This was a retrospective study of all patients who had intramural hematoma at our institution from 1989 to 1994. Patients who had identifiable intimal flap, tear, or penetrating aortic ulcer were excluded from the study. Among these nine elderly patients (mean age, 76 years), the most common presentation was chest or back pain. Intramural hematoma was diagnosed by a variety of high-resolution imaging techniques. The descending thoracic aorta alone was involved in seven patients, whereas the ascending aorta was affected in the other two patients. One patient had evidence of an aneurysm (5.0 cm diameter) in the region of the hematoma. All patients were initially managed nonsurgically with blood pressure control. Both patients who had ascending aortic involvement had progression of aortic hematoma, which resulted in death in one case and in successful surgery in the other. Six of the seven patients who had descending aortic involvement alone were successfully managed without aortic surgery. The patient who had intramural hematoma and associated aortic aneurysm, however, had severe, recurrent pain and underwent successful...Continue Reading

References

May 1, 1992·The Annals of Thoracic Surgery·R C LuiF N McKenzie
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Citations

Feb 14, 2006·Journal of Vascular Surgery·Marvin D AtkinsRichard P Cambria
Apr 30, 2004·The Journal of Thoracic and Cardiovascular Surgery·Kwang Ree ChoThoralf M Sundt
Jul 13, 2002·Chest·Ijaz A Khan, Chandra K Nair
Feb 23, 2008·The Annals of Thoracic Surgery·Tomoki ShimokawaTsuyoshi Itoh
Apr 18, 2001·The American Journal of Cardiology·D W SohnY W Lee
Mar 20, 2002·The Annals of Thoracic Surgery·Omar A AliRichard C Becker
Jul 7, 2007·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Jamie M PelzelKevin M Harris
Jul 4, 1998·Journal of Vascular Surgery·M A CoadyJ A Elefteriades
May 23, 2006·AJR. American Journal of Roentgenology·Eijun SueyoshiYojiro Matsuoka
Jun 17, 1998·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Y MoriyamaA Taira
Nov 26, 1999·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·M PorcelliniG Bracale
Aug 20, 2010·Asian Cardiovascular & Thoracic Annals·Sadanari SawakiMasato Usui
Jan 7, 2009·Therapeutic Advances in Cardiovascular Disease·Pawan D Patel, Rohit R Arora
Sep 5, 2001·The British Journal of Surgery·M TroxlerS Homer-Vanniasinkam
Jun 10, 2010·Circulation·Michael A CoadyUNKNOWN American Heart Association Council on Cardiovascular Surgery and Anesthesia and Council on Peripheral Vascular Disease
Oct 24, 1998·The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi·Y ObitsuM Ishikawa

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