Abe DeAnda, MD, Vigneshwar Kasirajan, MD, Daniel Henry, MD, Stuart I

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Presentation transcript:

Complete regression of an intramural hematoma of the aorta after distal reperfusion Abe DeAnda, MD, Vigneshwar Kasirajan, MD, Daniel Henry, MD, Stuart I. Myers, MD Journal of Vascular Surgery Volume 42, Issue 1, Pages 149-152 (July 2005) DOI: 10.1016/j.jvs.2005.03.036 Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 1 A, Preoperative axial computed tomography (CT) image of the mid descending thoracic aorta shows aortic wall thickening (7 mm) and anterior ulceration (arrow). Overall aortic diameter is 31 mm. B, Preoperative right posterior oblique (RPO) maximum intensity projection (MIP) CT image of the descending aorta shows total aortic occlusion below ulcer and extensive intramural hematoma (IMH) distally (arrows). C, Preoperative coronal MIP CT image shows reconstitution distally with flow in bilateral renal arteries. Note residual gastrointestinal contrast from a previous study. Journal of Vascular Surgery 2005 42, 149-152DOI: (10.1016/j.jvs.2005.03.036) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 1 A, Preoperative axial computed tomography (CT) image of the mid descending thoracic aorta shows aortic wall thickening (7 mm) and anterior ulceration (arrow). Overall aortic diameter is 31 mm. B, Preoperative right posterior oblique (RPO) maximum intensity projection (MIP) CT image of the descending aorta shows total aortic occlusion below ulcer and extensive intramural hematoma (IMH) distally (arrows). C, Preoperative coronal MIP CT image shows reconstitution distally with flow in bilateral renal arteries. Note residual gastrointestinal contrast from a previous study. Journal of Vascular Surgery 2005 42, 149-152DOI: (10.1016/j.jvs.2005.03.036) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 2 A, Postoperative right posterior oblique maximum intensity projection (MIP) computed tomography image of thoracic and upper abdominal aorta shows resumption of aortic flow with filling of abdominal branch vessels. Ulcer unchanged proximally. IMH has resolved. B, Postoperative coronal MIP image shows improved abdominal aortic flow with visibility of bilateral renal arteries. Journal of Vascular Surgery 2005 42, 149-152DOI: (10.1016/j.jvs.2005.03.036) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions