scholarly journals Intramural Hematoma of the Descending Aorta: Differences and Similarities With Acute B Dissection

2013 ◽  
Vol 57 (1) ◽  
pp. 293
Author(s):  
Jip L. Tolenaar ◽  
Kevin M. Harris ◽  
Gilbert R. Upchurch ◽  
Vincenzo Rampoldi ◽  
Arturo Evangelista ◽  
...  
Keyword(s):  
Intramural Hematoma ◽  
Descending Aorta

scholarly journals The differences and similarities between intramural hematoma of the descending aorta and acute type B dissection

2013 ◽  
Vol 58 (6) ◽  
pp. 1498-1504 ◽  
Author(s):  
Jip L. Tolenaar ◽  
Kevin M. Harris ◽  
Gilbert R. Upchurch ◽  
Arturo Evangelista ◽  
Frans L. Moll ◽  
...  
Keyword(s):  
Intramural Hematoma ◽  
Acute Type ◽  
Type B ◽  
Descending Aorta ◽  
Type B Dissection

scholarly journals Secondary Aortic Dissection after Endoluminal Treatment of an Intramural Hematoma of the Thoracoabdominal Aorta: Endovascular Extension with Two Stent Grafts and Scarce Distal Landing

2013 ◽  
Vol 2013 ◽  
pp. 1-4
Author(s):  
Peter I. Kalmar ◽  
Peter Oberwalder ◽  
Peter Schedlbauer ◽  
Jürgen Steiner ◽  
Rupert H. Portugaller
Keyword(s):  
Vessel Wall ◽  
Interventional Procedures ◽  
Intramural Hematoma ◽  
Stent Grafts ◽  
Thoracoabdominal Aorta ◽  
Descending Aorta ◽  
Significant Challenge ◽  
Aortic Stent Graft ◽  
Endoluminal Treatment

Secondary dissection in the descending aorta after endovascular therapy may demand subsequent interventional procedures. This can set a particularly significant challenge for the endovascular specialist. When implanting an aortic prosthesis, a sufficient contact between the covered segment and the healthy vessel wall is advisable. However, our case shows that, in individual cases, it is indeed efficient to place an aortic stent graft on top of the distal end of the dissection. This is proven by a three-year follow-up CT-angiography.

scholarly journals An Alternative Technique for Ascending and Arcus Aorta Repair in Case of Vascular Diameter Mismatch

2020 ◽  
Vol 23 (2) ◽  
pp. E255-E257
Author(s):  
Bulend Ketenci ◽  
Tamer Kehlibar ◽  
Abdulkerim Özhan ◽  
Mehmet Yilmaz ◽  
Erhan Guler ◽  
...  
Keyword(s):  
Aortic Arch ◽  
Vascular Graft ◽  
Intramural Hematoma ◽  
Type A ◽  
Alternative Technique ◽  
Modified Technique ◽  
Descending Aorta ◽  
Surgical Options ◽  
Aortic Arch Repair ◽  
Intimal Tear

Complicated Type A intramural hematoma involving the arcus aorta requires emergency correction of the aortic arch. Surgical options include reimplantation of the brachiocephalic vessels as an island to a vascular graft, debranching aortic arch surgery, and Kazui technique. This report describes a modified technique for aortic arch repair in a patient with vascular diameter mismatch between the ascending and descending aorta, as well as an intimal tear between the brachiocephalic vessels.

scholarly journals Massive Hemothorax Occurring with Intramural Hematoma of the Descending Aorta in the Early Postpartum Period

2016 ◽  
Vol 49 (2) ◽  
pp. 122-125
Author(s):  
Jeong Hee Yun ◽  
Yeong Jeong Jeon ◽  
Tae Hee Hong ◽  
Joung Hun Byun ◽  
Sang Won Hwang ◽  
...  
Keyword(s):  
Postpartum Period ◽  
Intramural Hematoma ◽  
Descending Aorta ◽  
Early Postpartum Period ◽  
Early Postpartum ◽  
Massive Hemothorax

scholarly journals Detection of the intimal tear in aortic dissection and ulcer-like projection in intramural hematoma: usefulness of full-phase retrospective ECG-gated CT angiography

2020 ◽  
Vol 38 (11) ◽  
pp. 1036-1045
Author(s):  
Satoru Yanagaki ◽  
Takuya Ueda ◽  
Atsuro Masuda ◽  
Hideki Ota ◽  
Yuta Onaka ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Aortic Dissection ◽  
Ct Angiography ◽  
Intramural Hematoma ◽  
Ascending Aorta ◽  
Single Center ◽  
Descending Aorta ◽  
Diastolic Phase ◽  
Electrocardiogram Ecg ◽  
Intimal Tear

Abstract Purpose To compare the accuracy of non-electrocardiogram (ECG)-gated CT angiography (CTA), single-diastolic-phase ECG-gated CTA, and full-phase ECG-gated CTA in detecting the intimal tear (IT) in aortic dissection (AD) and ulcer-like projection (ULP) in intramural hematoma (IMH). Materials and methods A total of 81 consecutive patients with AD and IMH of the thoracic aorta were included in this single-center retrospective study. Non-ECG-gated CTA, single-diastolic-phase ECG-gated CTA, and full-phase ECG-gated CTA were used to detect the presence of the IT and ULP in thoracic aortic regions including the ascending aorta, aortic arch, and proximal and distal descending aorta. Results The accuracy of detecting the IT and ULP was significantly greater using full-phase ECG-gated CTA (88% [95% CI: 100%, 75%]) than non-ECG-gated CTA (72% [95% CI: 90%, 54%], P = 0.001) and single-diastolic-phase ECG-gated CTA (76% [95% CI: 93%, 60%], P = 0.008). Conclusion Full-phase ECG-gated CTA is more accurate in detecting the IT in AD and ULP in IMH, than non-ECG-gated CTA and single-diastolic-phase ECG-gated CTA.

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