Abstract
Objective: Increasing use of modern high-resolution imaging techniques yields to describe very early stages of aortic pathology which, if left untreated, may lead to overt aortic dissection. One typical example is aortic intramural hematoma (IMH) with a limited number of cases described in the literature and uncertainties still existing about the most appropriate treatment. Purpose of our study is to report our experience in the evaluation and treatment of IMHs. Methods: From 1991 to 1999 175 patients were conveyed to our centre for aortic dissection; in nine of them diagnosis of acute IMH was performed. Results: Diagnosis was obtained by means of conventional CT scan of the chest. All the patients underwent surgery, one patient died (11%). At the follow-up (mean 31 months) eight patients were alive and well and did not require any other cardiac surgery. Conclusions: The possibility to progress to overt aortic dissection may explain the need to an early diagnosis in the treatment of acute IMHs. Immediate surgical treatment is, in our experience, the preferred therapeutic option.
| Original language | English |
|---|---|
| Pages (from-to) | 170-173 |
| Number of pages | 4 |
| Journal | European Journal of Cardio-thoracic Surgery |
| Volume | 19 |
| Issue number | 2 |
| DOIs | |
| Publication status | Published - 2001 |
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Keywords
- Acute aortic dissection
- Intramural hematoma
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
- Surgery
Cite this
Intramural hematoma of the aorta : Diagnosis and treatment. / Vaccari, Giuseppe; Caciolli, Sabina; Calamai, Giancarlo; Acquafresca, Manlio; Montesi, Gianfranco; Braconi, Lucio; Cassai, Massimo; Perna, Avio Maria.
In: European Journal of Cardio-thoracic Surgery, Vol. 19, No. 2, 2001, p. 170-173.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Intramural hematoma of the aorta
T2 - Diagnosis and treatment
AU - Vaccari, Giuseppe
AU - Caciolli, Sabina
AU - Calamai, Giancarlo
AU - Acquafresca, Manlio
AU - Montesi, Gianfranco
AU - Braconi, Lucio
AU - Cassai, Massimo
AU - Perna, Avio Maria
PY - 2001
Y1 - 2001
N2 - Objective: Increasing use of modern high-resolution imaging techniques yields to describe very early stages of aortic pathology which, if left untreated, may lead to overt aortic dissection. One typical example is aortic intramural hematoma (IMH) with a limited number of cases described in the literature and uncertainties still existing about the most appropriate treatment. Purpose of our study is to report our experience in the evaluation and treatment of IMHs. Methods: From 1991 to 1999 175 patients were conveyed to our centre for aortic dissection; in nine of them diagnosis of acute IMH was performed. Results: Diagnosis was obtained by means of conventional CT scan of the chest. All the patients underwent surgery, one patient died (11%). At the follow-up (mean 31 months) eight patients were alive and well and did not require any other cardiac surgery. Conclusions: The possibility to progress to overt aortic dissection may explain the need to an early diagnosis in the treatment of acute IMHs. Immediate surgical treatment is, in our experience, the preferred therapeutic option.
AB - Objective: Increasing use of modern high-resolution imaging techniques yields to describe very early stages of aortic pathology which, if left untreated, may lead to overt aortic dissection. One typical example is aortic intramural hematoma (IMH) with a limited number of cases described in the literature and uncertainties still existing about the most appropriate treatment. Purpose of our study is to report our experience in the evaluation and treatment of IMHs. Methods: From 1991 to 1999 175 patients were conveyed to our centre for aortic dissection; in nine of them diagnosis of acute IMH was performed. Results: Diagnosis was obtained by means of conventional CT scan of the chest. All the patients underwent surgery, one patient died (11%). At the follow-up (mean 31 months) eight patients were alive and well and did not require any other cardiac surgery. Conclusions: The possibility to progress to overt aortic dissection may explain the need to an early diagnosis in the treatment of acute IMHs. Immediate surgical treatment is, in our experience, the preferred therapeutic option.
KW - Acute aortic dissection
KW - Intramural hematoma
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UR - http://www.scopus.com/inward/citedby.url?scp=0035134725&partnerID=8YFLogxK
U2 - 10.1016/S1010-7940(00)00651-5
DO - 10.1016/S1010-7940(00)00651-5
M3 - Article
C2 - 11167107
AN - SCOPUS:0035134725
VL - 19
SP - 170
EP - 173
JO - European Journal of Cardio-thoracic Surgery
JF - European Journal of Cardio-thoracic Surgery
SN - 1010-7940
IS - 2
ER -