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Novel Insights Into the Mechanisms and Treatment of Intramural Hematoma Affecting the Entire Thoracic Aorta  Michael Grimm, MD, Christian Loewe, MD, Roman.

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Presentation on theme: "Novel Insights Into the Mechanisms and Treatment of Intramural Hematoma Affecting the Entire Thoracic Aorta  Michael Grimm, MD, Christian Loewe, MD, Roman."— Presentation transcript:

1 Novel Insights Into the Mechanisms and Treatment of Intramural Hematoma Affecting the Entire Thoracic Aorta  Michael Grimm, MD, Christian Loewe, MD, Roman Gottardi, MD, Martin Funovics, MD, Daniel Zimpfer, MD, Suzanne Rodler, MD, Marion Dorfmeister, MD, Maria Schoder, MD, Johannes Lammer, MD, Seyedhossein Aharinejad, MD, Martin Czerny, MD  The Annals of Thoracic Surgery  Volume 86, Issue 2, Pages (August 2008) DOI: /j.athoracsur Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 (A) The computed tomography scan at diagnosis reveals a small atherosclerotic plaque at the lateral wall as the underlying cause of the disease. The arrow points at the plaque. (B) The intramural hematoma is seen within the ascending aorta. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 (A) The computed tomography scan at diagnosis reveal a small atherosclerotic plaque at the concavity of the distal aortic arch as the underlying cause of the disease. The arrow points at the plaque. (B) The intramural hematoma is seen within the ascending aorta. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 (A) The patient shown in Figure 1 is shown after stent graft placement with successful coverage of the suspected underlying pathology. (B) Complete resorption of the intramural hematoma within the ascending aorta is seen. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 (A) The patient shown in Figure 2 is shown after stent graft placement with successful coverage of the suspected underlying pathology. (B) Complete resorption of the intramural hematoma within the ascending aorta is seen. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

6 Fig 5 (A, B) Computed tomography scan at diagnosis of a patient with a type B dissection with the primary entry tear being located at the convexity of the proximal descending aorta (arrow), showing the classical antegrade component as well as the retrograde component of the dissection ending at the level of the left subclavian artery owing to its function as an anatomical barrier. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

7 Fig 6 (A, B) Computed tomography scan at diagnosis of a patient with a type B dissection with the primary entry tear being located at the concavity of the distal aortic arch (arrow), showing the classical antegrade component as well as a retrograde type A dissection extending into the aortic root owing to no existing anatomical barriers in this region. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

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