Shawn L. Tittle, MDa, Raymond J. Lynch, BSa, Patricia E

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Presentation transcript:

Midterm follow-up of penetrating ulcer and intramural hematoma of the aorta Shawn L. Tittle, MDa, Raymond J. Lynch, BSa, Patricia E. Cole, MDb, Harsimran S. Singh, BSa, John A. Rizzo, PhDc, Gary S. Kopf, MDa, John A. Elefteriades, MDa The Journal of Thoracic and Cardiovascular Surgery Volume 123, Issue 6, Pages 1051-1059 (June 2002) DOI: 10.1067/mtc.2002.121681 Copyright © 2002 American Association for Thoracic Surgery Terms and Conditions

Fig. 1 Photograph of resected penetrating ulcer of thoracic aorta. Note similarity in appearance to duodenal ulcer. The Journal of Thoracic and Cardiovascular Surgery 2002 123, 1051-1059DOI: (10.1067/mtc.2002.121681) Copyright © 2002 American Association for Thoracic Surgery Terms and Conditions

Fig. 2 Hospital courses of penetrating ulcer and intramural hematoma. Dark figures represent patients with rupture; light figures represent patients without rupture; circles indicate operation; and X's indicate death. The Journal of Thoracic and Cardiovascular Surgery 2002 123, 1051-1059DOI: (10.1067/mtc.2002.121681) Copyright © 2002 American Association for Thoracic Surgery Terms and Conditions

Fig. 3 Radiographic (computed tomographic scan) evidence of worsening of penetrating ulcer. Left, Initial scan. Right, Scan after elapsed time of 3 weeks. Note increased size and depth of ulcer at 5 o'clock position in both insets. The Journal of Thoracic and Cardiovascular Surgery 2002 123, 1051-1059DOI: (10.1067/mtc.2002.121681) Copyright © 2002 American Association for Thoracic Surgery Terms and Conditions

Fig. 4 Radiographic evidence of worsening of intramural hematoma. Left, Initial computed tomographic scan shows calcium in aortic wall. Right, Magnetic resonance image after elapsed time of 19 weeks shows marked increase in hematoma size outside aortic lumen. The Journal of Thoracic and Cardiovascular Surgery 2002 123, 1051-1059DOI: (10.1067/mtc.2002.121681) Copyright © 2002 American Association for Thoracic Surgery Terms and Conditions

Fig. 5 Kaplan-Meier survival curves. A, All patients in the study. Error bars indicate SD. B, Patients with penetrating ulcer. C, Patients with intramural hematoma. The Journal of Thoracic and Cardiovascular Surgery 2002 123, 1051-1059DOI: (10.1067/mtc.2002.121681) Copyright © 2002 American Association for Thoracic Surgery Terms and Conditions