CC BY 4.0 · Aorta (Stamford) 2015; 03(04): 145-150
DOI: 10.12945/j.aorta.2015.14.073
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Acute Type B Aortic Pathology Mimicking Acute Type A Intramural Hematoma with Organ Malperfusion

Eli Levy
1   Department of Cardiothoracic Surgery, “Hadassah” Hebrew University Medical Center, Jerusalem, Israel
,
Amit Korach
1   Department of Cardiothoracic Surgery, “Hadassah” Hebrew University Medical Center, Jerusalem, Israel
,
Chen Rubinstein
2   Department of Vascular Surgery, “Hadassah” Hebrew University Medical Center, Jerusalem, Israel
,
Dan Gilon
3   Department of Cardiology, “Hadassah” Hebrew University Medical Center, Jerusalem, Israel
,
Oz M. Shapira
1   Department of Cardiothoracic Surgery, “Hadassah” Hebrew University Medical Center, Jerusalem, Israel
› Author Affiliations
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.

 
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