Diagnosis and treatment of thoracic aortic intramural hematoma

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Presentation transcript:

Diagnosis and treatment of thoracic aortic intramural hematoma Satish C. Muluk, MD, John A. Kaufman, MD, David F. Torchiana, MD, Jonathan P. Gertler, MD, Richard P. Cambria, MD Journal of Vascular Surgery Volume 24, Issue 6, Pages 1022-1029 (December 1996) DOI: 10.1016/S0741-5214(96)70048-4 Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 Admission CT scan from patient #7 with (A) and without (B) intravenous contrast administration. A large hematoma surrounding ascending aorta is evident (black arrow). Note that descending aorta appears normal at this time (white arrowhead). Journal of Vascular Surgery 1996 24, 1022-1029DOI: (10.1016/S0741-5214(96)70048-4) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 Admission CT scan from patient #7 with (A) and without (B) intravenous contrast administration. A large hematoma surrounding ascending aorta is evident (black arrow). Note that descending aorta appears normal at this time (white arrowhead). Journal of Vascular Surgery 1996 24, 1022-1029DOI: (10.1016/S0741-5214(96)70048-4) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 Admission angiogram from patient #7 shows no evidence of intimal defect. Arrows indicate overlying lung shadow. Journal of Vascular Surgery 1996 24, 1022-1029DOI: (10.1016/S0741-5214(96)70048-4) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 Follow-up CT scan of patient #7 on hospital day 4 shows interval increase in size of ascending aortic IMH (black arrow), as well as extension of hematoma to descending thoracic aorta (white arrowhead). Journal of Vascular Surgery 1996 24, 1022-1029DOI: (10.1016/S0741-5214(96)70048-4) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 4 Admission CT image of patient #2 demonstrates IMH of proximal descending thoracic aorta (arrowheads), with accompanying pleural effusion (small arrow). Journal of Vascular Surgery 1996 24, 1022-1029DOI: (10.1016/S0741-5214(96)70048-4) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 5 Admission CT image of patient #8 demonstrates IMH of mid-descending thoracic aorta (arrow) associated with aneurysmal dilatation of aorta (5.0 cm diameter). Journal of Vascular Surgery 1996 24, 1022-1029DOI: (10.1016/S0741-5214(96)70048-4) Copyright © 1996 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions