Intramural hematoma of the thoracic aorta as a form of aortic dissection

Robert Juszkat; Fryderyk Pukacki; Grzegorz Oszkinis; Anna Zarzecka; Wacław Majewski

doi:10.1007/s00270-007-9132-4

Intramural hematoma of the thoracic aorta as a form of aortic dissection

Cardiovasc Intervent Radiol. 2007 Sep-Oct;30(5):1056-60. doi: 10.1007/s00270-007-9132-4. Epub 2007 Aug 2.

Authors

Robert Juszkat¹, Fryderyk Pukacki, Grzegorz Oszkinis, Anna Zarzecka, Wacław Majewski

Affiliation

¹ Department of Radiology, Karol Marcinkowski Medical University, Poznań, Poland. [email protected]

PMID: 17671808
DOI: 10.1007/s00270-007-9132-4

Abstract

Intramural hematoma (IMH) of the thoracic aorta is a complication with unknown etiology and a poorly predictable prognosis. There is also considerable controversy about the management and prognosis of IMH as well as the treatment. We present two cases of endovascular treatment of IMH with stent-graft placement. On the basis of references, we discuss risks of progression of the given pathology and possible complications. Despite the lack of uniform opinion about the management of this disorder, we present our observations of and experiences with endovascular treatment of IMH of the thoracic aorta.

Publication types

Case Reports

MeSH terms

Angiography, Digital Subtraction
Aorta, Thoracic / diagnostic imaging
Aorta, Thoracic / surgery*
Aortic Aneurysm, Thoracic / complications
Aortic Aneurysm, Thoracic / diagnostic imaging
Aortic Aneurysm, Thoracic / surgery*
Aortic Dissection / complications
Aortic Dissection / diagnostic imaging
Aortic Dissection / surgery*
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation* / instrumentation
Disease Progression
Hematoma / complications
Hematoma / diagnostic imaging
Hematoma / surgery*
Humans
Male
Middle Aged
Pain / diagnostic imaging
Pain / etiology*
Pain / surgery
Stents
Tomography, X-Ray Computed
Treatment Outcome