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Computed tomography evaluation of aortic remodeling after endovascular treatment for complicated ulcer-like projection in patients with type B aortic.

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Presentation on theme: "Computed tomography evaluation of aortic remodeling after endovascular treatment for complicated ulcer-like projection in patients with type B aortic."— Presentation transcript:

1 Computed tomography evaluation of aortic remodeling after endovascular treatment for complicated ulcer-like projection in patients with type B aortic intramural hematoma  Eijun Sueyoshi, MD, Hiroki Nagayama, MD, Koji Hashizume, MD, Kiyoyuki Eishi, MD, Ichiro Sakamoto, MD, Masataka Uetani, MD  Journal of Vascular Surgery  Volume 59, Issue 3, Pages (March 2014) DOI: /j.jvs Copyright © 2014 Society for Vascular Surgery Terms and Conditions

2 Fig 1 An 81-year-old woman with type B acute intramural hematoma (IMH) of the aorta. A, At onset, contrast-enhanced computed tomography (CT) images show the ulcer-like projection (ULP) in the descending aorta (arrow). B, A contrast-enhanced CT image 2 months after onset shows an enlarged ULP in the descending aorta (arrow). C and D, Contrast-enhanced CT images 2 weeks after endovascular treatment show that the ULP has disappeared. IHM has also decreased in size. E, A nonenhanced CT image 1 year after endovascular treatment shows that the IHM has disappeared. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

3 Fig 2 An 83-year-old woman with type B acute intramural hematoma (IMH) of the aorta. A, A contrast-enhanced computed tomography (CT) image 3 months after onset shows progressive ulcer-like projection (ULP) in the descending aorta (arrow). B, She had severe chest pain 1 year after endovascular treatment. A contrast-enhanced CT image shows that ULP had disappeared; however, mediastinal hematoma is seen (arrow). C, Contrast-enhanced CT images show a pseudoaneurysm caused by the edge of the stent graft in the aortic arch (arrow). D, CT angiography shows pseudoaneurysm caused by the edge of the stent graft in the aortic arch (arrow). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

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