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Thorac Cardiovasc Surg 2012; 60(08): 548-551
DOI: 10.1055/s-0031-1298067
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Aortic Intramural Hematoma Presenting as Paraplegia Progressed into Segmental Aortic Dissection

Hua-gang Zhu
1   Department of Vascular Surgery, The First Affiliated Hospital of Anhui Medical University, Hefei, China
,
Bin-shan Zha
1   Department of Vascular Surgery, The First Affiliated Hospital of Anhui Medical University, Hefei, China
,
Bin Liu
1   Department of Vascular Surgery, The First Affiliated Hospital of Anhui Medical University, Hefei, China
› Author Affiliations
Further Information

Publication History

26 July 2011

13 September 2011

Publication Date:
17 January 2012 (online)

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Abstract

Intramural hematoma (IMH) is a newly defined disease entity and the optimal management is still controversial as the disease shows varied clinical course. We present a case of type B IMH, initially presenting with paraplegia progressing to segmental aortic dissection (SAD) which the formed dissection displayed as a segmental distribution pattern. To our knowledge, it may become a new progression pattern of IMH progression. The SAD was successfully treated with both thoracic and abdominal endovascular aortic repair (TEVAR plus EVAR). In 1-year follow-up, the patient recovered almost completely with moderately neurological deficit and the blood pressure is in control.

Keywords

aortic intramural hematoma - paraplegia - natural history
 

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