Acute Type B Aortic Pathology Mimicking Acute Type A Intramural Hematoma with Organ Malperfusion

Acute Type B Aortic Pathology Mimicking Acute Type A Intramural Hematoma with Organ Malperfusion

Abstract The management of acute Stanford Type A intramural hematoma (IMH) of the aorta remains controversial. Most surgeons advocate emergency surgery in a manner similar to frank acute Type A dissection. Others recommend a conservative approach to this distinct clinicopathological entity. We descr...

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Veröffentlicht in:Aorta (Stamford, Conn.) Conn.), 2015-08, Vol.3 (4), p.145-150
Hauptverfasser: Levy, Eli, Korach, Amit, Rubinstein, Chen, Gilon, Dan, Shapira, Oz M.
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Case Report
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container_end_page 150
container_issue 4
container_start_page 145
container_title Aorta (Stamford, Conn.)
container_volume 3
creator Levy, Eli
Korach, Amit
Rubinstein, Chen
Gilon, Dan
Shapira, Oz M.
description Abstract The management of acute Stanford Type A intramural hematoma (IMH) of the aorta remains controversial. Most surgeons advocate emergency surgery in a manner similar to frank acute Type A dissection. Others recommend a conservative approach to this distinct clinicopathological entity. We describe a case of acute aortic pathology initially diagnosed as Type A IMH with organ malperfusion, subsequently identified as acute Type B pathology with retrograde and antegrade extension. An endovascular approach was successfully used to exclude the site of origin.
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title Acute Type B Aortic Pathology Mimicking Acute Type A Intramural Hematoma with Organ Malperfusion
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