scholarly journals Analysis of predictive factors for progression of type B aortic intramural hematoma with computed tomography

2002 ◽  
Vol 35 (6) ◽  
pp. 1179-1183 ◽  
Author(s):  
Eijun Sueyoshi ◽  
Tatsuya Imada ◽  
Ichiro Sakamoto ◽  
Yohjiro Matsuoka ◽  
Kuniaki Hayashi
Keyword(s):  
Computed Tomography ◽  
Predictive Factors ◽  
Intramural Hematoma ◽  
Type B ◽  
Aortic Intramural Hematoma

Abstract 15182: Acute Complications of Type B Aortic Intramural Hematoma Compared With Classic Aortic Dissection

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Yutaro Miyoshi ◽  
Shuichirou Kaji ◽  
Akiko Masumoto ◽  
Toshiaki Toyota ◽  
Taiji Okada ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Hospital Mortality ◽  
Clinical Course ◽  
Aortic Rupture ◽  
Intramural Hematoma ◽  
Spinal Ischemia ◽  
Type B ◽  
Impending Rupture ◽  
Acute Complications ◽  
Aortic Intramural Hematoma

Introduction: Although acute type B aortic intramural hematoma (B-IMH) is a variant of acute aortic syndrome having similar clinical demographics to type B classic aortic dissection (B-AD), early clinical course including acute complications are not well investigated. The purpose of this study was to investigate early clinical course and acute complications of B-IMH in comparison with that of B-AD. Methods: Clinical features and early clinical course including acute complications were retrospectively analyzed in 270 B-IMH and 177 B-AD consecutive patients who were admitted to our hospital between 1991 and 2020. Acute complications were defined as rupture, impending rupture, re-dissection, and visceral and leg ischemia. Results: As compared with B-AD, B-IMH presented at older age (72±11 vs 62±15 years; p<0.001), predominantly in females (37% vs 25%). During in-hospital courses, limb ischemia and mesenteric ischemia were less common in patients with B-IMH than those with B-AD (0.4% versus 5.1%, p=0.003, 0.4% versus 2.8%, p=0.03; respectively). In contrast, spinal ischemia was more common in B-IMH patients (2.4% versus 0.6%, p=0.05). Aortic rupture and impending rupture were comparable between B-IMH and B-AD patients (5.9% versus 7.3%. p=0.28). Besides, re-dissection was also comparable between two groups (2.2% versus 5.1%, p=0.06). As a result, prevalence of acute complications was significantly lower in patients with B-IMH (8.8% versus 17%, p=0.008). In-hospital mortality rate in B-IMH was significantly lower than that in B-AD (0.4% versus 9.0%, p<0.001). Conclusions: Although patients with B-IMH had lower in-hospital mortality rates than patients with B-AD, significant portion of B-IMH patients had fatal complications including spinal ischemia or aortic rupture. Patients with B-IMH should be carefully observed as well as patients with B-AD patients.

scholarly journals Primary Mediastinal Undifferentiated Carcinoma Mimicking Type B Aortic Intramural Hematoma

2017 ◽  
Vol 104 (3) ◽  
pp. e283
Author(s):  
Qiang Zhu ◽  
Wen-cheng Che ◽  
Wei Wang ◽  
Tian-chang Zhen ◽  
Gong-zhang Su ◽  
...  
Keyword(s):  
Intramural Hematoma ◽  
Undifferentiated Carcinoma ◽  
Type B ◽  
Aortic Intramural Hematoma

Medical and surgical management of acute type B aortic intramural hematoma

2020 ◽  
Vol 35 (9) ◽  
pp. 2324-2330
Author(s):  
James A. Brown ◽  
George J. Arnaoutakis ◽  
Arman Kilic ◽  
Thomas G. Gleason ◽  
Edgar Aranda‐Michel ◽  
...  
Keyword(s):  
Surgical Management ◽  
Intramural Hematoma ◽  
Acute Type ◽  
Type B ◽  
Aortic Intramural Hematoma

scholarly journals Detection of Intimal Defect by 64-Row Multidetector Computed Tomography in Patients With Acute Aortic Intramural Hematoma

Circulation ◽  
2011 ◽  
Vol 124 (11_suppl_1) ◽  
pp. S174-S178 ◽  
Author(s):  
T. Kitai ◽  
S. Kaji ◽  
A. Yamamuro ◽  
T. Tani ◽  
M. Kinoshita ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Multidetector Computed Tomography ◽  
Intramural Hematoma ◽  
Aortic Intramural Hematoma
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