Subscribe to RSS
Please copy the URL and add it into your RSS Feed Reader.
https://www.thieme-connect.de/rss/thieme/en/10.1055-s-00039245.xml
CC BY 4.0 · Aorta (Stamford) 2015; 03(04): 145-150
DOI: 10.12945/j.aorta.2015.14.073
DOI: 10.12945/j.aorta.2015.14.073
Case Report
Acute Type B Aortic Pathology Mimicking Acute Type A Intramural Hematoma with Organ Malperfusion
Further Information
Publication History
30 November 2014
26 February 2015
Publication Date:
24 September 2018 (online)
Abstract
The management of acute Stanford Type A intramural hematoma (IMH) of the aorta remains controversial. Most surgeons advocate emergency surgery in a manner similar to frank acute Type A dissection. Others recommend a conservative approach to this distinct clinicopathological entity. We describe a case of acute aortic pathology initially diagnosed as Type A IMH with organ malperfusion, subsequently identified as acute Type B pathology with retrograde and antegrade extension. An endovascular approach was successfully used to exclude the site of origin.
-
References
- 1 Krukenberg E. Beitrage zur Frage des Aneurysma dissecans. Beitr Pathol Anat Allg Pathol 1920; 67: 329-351
- 2 Gore I. Pathogenesis of dissecting aneurysm of the aorta. Arch Pathol Lab Med 1952; 53: 142-153 . PMID: 831424
- 3 Midulla M, Renaud A, Martinelli T, Koussa M, Mounier-Vehier C, Prat A. , et al. Endovascular fenestration in aortic dissection with acute malperfusion syndrome: Immediate and late follow up. J Thorac Cardiovasc Surg 2011; 142: 66-72 . DOI: 10.1016/j.jtcvs.2010.07.081
- 4 Zipfel B, Chiesa R, Kahlberg A, Marone EM, Rousseau H, Kaskarelis I. , et al. Endovascular repair of traumatic thoracic aortic injury. Results from the relay endovascular registry for thoracic disease. Ann Thoracic Surg 2014; 97: 774-780 . DOI: 10.1016/j.athoracsur.2013.09.034
- 1 Bonser RS, Ranasinghe AM, Loubani M, Evans JD, Thalji NM, Bachet JE. , et al. Evidence, lack of evidence, controversy, and debate in the provision and performance of the surgery of acute Type A aortic dissection. J Am Coll Cardiol 2011; 58: 2455-2474 . DOI: 10.1016/j.jacc.2011.06.067
- 2 Grimm M, Loewe C, Gottardi R, Funovics M, Zimpfer D, Rodler S. , et al. Novel insights into the mechanisms and treatment of intramural hematoma affecting the entire thoracic aorta. Ann Thorac Surg 2008; 86: 453-456 . DOI: 10.1016/j.athoracsur.2008.03.078