scholarly journals Confirmation of Intimal Tear in Thrombosed-Type Acute Aortic Dissection by Virtual Angioscopy

2016 ◽  
Vol 30 ◽  
pp. 1-3
Author(s):  
T. Cho ◽  
S. Tokunaga ◽  
R. Izubuchi ◽  
M. Masuda
Keyword(s):  
Aortic Dissection ◽  
Acute Aortic Dissection ◽  
Virtual Angioscopy ◽  
Thrombosed Type ◽  
Intimal Tear

scholarly journals Surgical treatment of intramural hematoma of the ascending aorta

2016 ◽  
Vol 144 (3-4) ◽  
pp. 196-199
Author(s):  
Stamenko Susak ◽  
Aleksandar Redzek ◽  
Vladimir Torbica ◽  
Jovan Rajic ◽  
Mirko Todic
Keyword(s):  
Aortic Dissection ◽  
Open Surgery ◽  
Aortic Wall ◽  
Acute Aortic Dissection ◽  
Treatment Options ◽  
Intramural Hematoma ◽  
Ascending Aorta ◽  
Vasa Vasorum ◽  
Convex Side ◽  
Intimal Tear

Introduction. Intramural hematoma of the aorta presents potentially fatal condition developing as a result of a vasa vasorum rupture. It is a major risk factor for developing a frank aortic dissection. Case Outline. A 65-year-old woman was admitted to our clinic for the second time, after her symptoms of chest pain and vertigo (with no electrocardiographic signs of myocardial infarction) hadn?t disappeared after several months of medicament treatment (indicated in the first hospitalization). Computed tomography arteriography of the aorta showed no sign of acute aortic dissection, but revealed a contrast depo in the aortic wall of 8 ? 14 mm dimensions, with no extravasation of contrast. Also, massive pericardial effusion was observed (10-30 mm in thickness). Transesophageal echocardiography confirmed these findings completely. The patient underwent surgery, in which plaque exulceration was detected on the convex side of the ascending aorta, 3 cm above the aortic valve, 1 cm in diameter, with no signs of intimal tear. A resection of the ascending aorta was performed, and the aorta was reconstructed with a 30 mm Dacron tube graft. The patient was discharged on the 14th postoperative day with satisfactory results. Conclusion. Intramural hematoma is not a common event, but it is potentially a fatal one. Open surgery in patients with an intramural hematoma is an effective treatment strategy, although percutaneous endovascular treatment options are being described.

scholarly journals Detecting intimal tear and subintimal blood flow of thrombosed acute aortic dissection with ulcer-like projections using non-obstructive angioscopy

2018 ◽  
Vol 18 (5) ◽  
pp. 164-167 ◽  
Author(s):  
Satoru Takahashi ◽  
Sei Komatsu ◽  
Tomoki Ohara ◽  
Mitsuhiko Takewa ◽  
Yasuyuki Toyama ◽  
...  
Keyword(s):  
Blood Flow ◽  
Aortic Dissection ◽  
Acute Aortic Dissection ◽  
Intimal Tear

scholarly journals Prediction of Intimal Tear Site by Computed Tomography in Acute Aortic Dissection Type A

2016 ◽  
Vol 46 (1) ◽  
pp. 48 ◽  
Author(s):  
Jun Sung Kim ◽  
Kay-Hyun Park ◽  
Cheong Lim ◽  
Dong Jin Kim ◽  
Yochun Jung ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Aortic Dissection ◽  
Acute Aortic Dissection ◽  
Type A ◽  
Aortic Dissection Type A ◽  
Intimal Tear

scholarly journals Prognosis of patients undergoing emergency surgery for type A acute aortic dissection without exclusion of the intimal tear

2013 ◽  
Vol 146 (1) ◽  
pp. 67-71 ◽  
Author(s):  
Satoshi Unosawa ◽  
Mitsumasa Hata ◽  
Tetsuya Niino ◽  
Kazuma Shimura ◽  
Motomi Shiono
Keyword(s):  
Aortic Dissection ◽  
Emergency Surgery ◽  
Acute Aortic Dissection ◽  
Type A ◽  
Intimal Tear

scholarly journals Natural courses and long-term results of type A acute aortic intramural haematoma and retrograde thrombosed type A acute aortic dissection: a single-centre experience

2019 ◽  
Vol 30 (1) ◽  
pp. 113-120 ◽  
Author(s):  
Yen-Yu Chen ◽  
Hsu-Ting Yen ◽  
Chien-Ming Lo ◽  
Chia-Chen Wu ◽  
David Kwan-Ru Huang ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Medical Therapy ◽  
Acute Aortic Dissection ◽  
Survival Rates ◽  
Type A ◽  
Long Term Results ◽  
Urgent Surgery ◽  
Life Threatening ◽  
Thrombosed Type

Abstract OBJECTIVES Few reports on the outcomes of patients treated for Stanford type A acute aortic intramural haematoma (TAAIMH) and retrograde thrombosed type A acute aortic dissection exist. This study aimed to evaluate their long-term results and predictors of adverse outcomes. METHODS We retrospectively analysed 40 patients with TAAIMH and retrograde thrombosed type A acute aortic dissection. All patients underwent urgent surgery on presentation of life-threatening complications. Before discharge, 18 patients underwent open aortic surgery, and 22 were treated with medical therapy alone. Clinical features of these patients and image appearances were reviewed, and the relationship with overall survival, aortic events, and aortic death was investigated. RESULTS The in-hospital mortality rate was 4.5% (1 patient) with medical therapy alone and 11.1% (2 patients) with surgical intervention. No patient with initial medical therapy required urgent surgery for life-threatening complications beyond 3 days of admission. The overall survival and aortic death-free survival rates at 1, 5 and 10 years were 85.0%, 72.5% and 59.8% and 90.0%, 81.6% and 77.1%, respectively. TAAIMH associated with penetrating aortic ulcer (PAU) was a risk factor of aortic events (P = 0.020) and significantly influenced aortic death-free survival (P = 0.003). CONCLUSIONS Urgent surgery for complicated TAAIMH and retrograde thrombosed type A acute aortic dissection patients and initial medical therapy for uncomplicated patients show favourable long-term survival rates. TAAIMH is frequently associated with PAU; PAU enlargement is common. Although PAU can remain stable for years, it is a strong predictor of poor prognosis. For optimal long-term results, surgical repair is recommended for TAAIMH associated with PAU.

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