Large Intramural Aortic Hematoma with Intimal Tear

Frédéric Jacques; Michel Gingras; Valérie Lafrenière-Bessi; Jean Perron; François Dagenais

doi:10.1055/s-0040-1714058

AORTA, Inhaltsverzeichnis

CC BY 4.0 · Aorta (Stamford) 2020; 08(04): 118-120
DOI: 10.1055/s-0040-1714058

Images in Aortic Disease

Large Intramural Aortic Hematoma with Intimal Tear

Frédéric Jacques

¹Departments of Cardiac Surgery, Institut Universitaire de Cardiologie et de Pneumologie de Québec–IUCPQ, Quebec, QC, Canada

,

Michel Gingras

²Departments of Medical Imaging, Institut Universitaire de Cardiologie et de Pneumologie de Québec–IUCPQ, Quebec, QC, Canada

,

Valérie Lafrenière-Bessi

¹Departments of Cardiac Surgery, Institut Universitaire de Cardiologie et de Pneumologie de Québec–IUCPQ, Quebec, QC, Canada

,

Jean Perron

¹Departments of Cardiac Surgery, Institut Universitaire de Cardiologie et de Pneumologie de Québec–IUCPQ, Quebec, QC, Canada

,

François Dagenais

¹Departments of Cardiac Surgery, Institut Universitaire de Cardiologie et de Pneumologie de Québec–IUCPQ, Quebec, QC, Canada

› Institutsangaben

Abstract

A 72-year-old man presented with excruciating epigastric pain. A chest computed tomography angiography revealed an aortic intramural hematoma. A filling defect within the distal ascending aorta was noted. Images of an intramular hematoma and surgical details of an ascending aortic replacement under deep hypothermic circulatory arrest are provided.

Keywords

aortic intramural hematoma - dissection - acute aortic syndrome

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Referenzen

References
1 Alomari IB, Hamirani YS, Madera G, Tabe C, Akhtar N, Raizada V. Aortic intramural hematoma and its complications. Circulation 2014; 129 (06) 711-716
2 Sundt TM. Intramural hematoma and penetrating atherosclerotic ulcer of the aorta. Ann Thorac Surg 2007; 83 (02) S835 –S841, discussion S846–S850