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

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Presentation on theme: "Shawn L. Tittle, MDa, Raymond J. Lynch, BSa, Patricia E"— Presentation transcript:

1 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 (June 2002) DOI: /mtc Copyright © 2002 American Association for Thoracic Surgery Terms and Conditions

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

3 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  , DOI: ( /mtc ) Copyright © 2002 American Association for Thoracic Surgery Terms and Conditions

4 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  , DOI: ( /mtc ) Copyright © 2002 American Association for Thoracic Surgery Terms and Conditions

5 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  , DOI: ( /mtc ) Copyright © 2002 American Association for Thoracic Surgery Terms and Conditions

6 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  , DOI: ( /mtc ) Copyright © 2002 American Association for Thoracic Surgery Terms and Conditions

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