Intramural hematoma of the thoracic aorta in octogenarians: Is non operation justified?

European Journal of Cardio-thoracic Surgery

Volumn 16, Issue 4, 1999, Pages 414-417

  Porcellini, Massimo ^a   Elia, Stefano ^a   Camera, Luigi ^a   Bracale, Giancarlo ^a  

^a UNIVERSITY OF NAPLES FEDERICO II   (Italy)

Author keywords

Aorta, thoracic; Diagnostic imaging; Elderly patient; Hematoma; Prognosis; Treatment

Indexed keywords

ANALGESIC AGENT; NIFEDIPINE; NITROPRUSSIDE SODIUM;

AGED; AORTA DISSECTION; AORTOGRAPHY; ARTICLE; ATHEROSCLEROSIS; CASE REPORT; FEMALE; HEMATOMA; HUMAN; HYPERTENSION; MALE; ORAL DRUG ADMINISTRATION; PRIORITY JOURNAL; PROGNOSIS; RISK FACTOR; SPIRAL COMPUTER ASSISTED TOMOGRAPHY; SURVIVAL RATE; THORACIC AORTA; X RAY;

AGED; AGED, 80 AND OVER; ANALGESICS; AORTA, THORACIC; AORTIC DISEASES; AORTOGRAPHY; ARTERIOSCLEROSIS; DRUG THERAPY, COMBINATION; FEMALE; HEMATOMA; HUMANS; HYPERTENSION; MALE; NIFEDIPINE; NITROPRUSSIDE; TOMOGRAPHY, X-RAY COMPUTED; VASODILATOR AGENTS;

EID: 0032861055     PISSN: 10107940     EISSN: None     Source Type: Journal    
DOI: 10.1016/S1010-7940(99)00247-X     Document Type: Article

References (15)

1. Robbins R.C., Mc Manus R.P., Mitchell R.S., Latter D.R., Moon M.R., Olinger G.N., Miller D.C. Management of patients with intramural hematoma of the thoracic aorta. Circulation. 88(Suppl II):1993;1-10.
2. Mohr-Kahaly S., Erbel R., Kearney P., Puth M., Meyer J. Aortic intramural hemorrhage visualized by transesophageal echocardiography: findings and prognostic implications. J Am Coll Cardiol. 23:1994;658-664.
3. Nienaber C.A., von Kodolitsch Y., Petersen B., Loose R., Helmchen U., Haverich A., Spielmann R.P. Intramural hemorrhage of the thoracic aorta. Diagnostic and therapeutic implications. Circulation. 92:1995;1465-1473.
4. Yamada T., Tada S., Harada J. Aortic dissection without intimal rupture: diagnosis with MR imaging and CT. Radiology. 168:1988;347-352.
5. Stanson A.M., Kazmier F.J., Hollier L.H., Edwards W.D., Pairolero P.C., Sheedy P.F., Joyce J.W., Johnson M.C. Penetrating atherosclerotic ulcers of the thoracic aorta: natural history and clinicopathologic correlations. Ann Vasc Surg. 1:1986;15-23.
6. Harris J.A., Bis K.G., Glover J.L., Bendick P.J., Shetty A., Brown W. Penetrating atherosclerotic ulcers of the aorta. J Vasc Surg. 19:1994;90-99.
7. Zotz R.J., Erbel R., Meyer J. Noncommunicating intramural hematoma: an indication of developing aortic dissection? J Am Soc Echocardiogr. 4:1991;636-638.
8. Gore I. Pathogenesis of dissecting aneurysm of the aorta. Arch Pathol Lab Med. 53:1952;142-153.
9. Hirst A.E., Johns V.J., Kime S.W. Dissecting aneurysm of the aorta: a review of 505 cases. Medicine. 37:1958;217-279.
10. Mohr-Kahaly S., Erbel R., Puth M., Zotz R., Meyer J. Aortic intramural hematoma visualized by transesophageal echocardiography. Circulation. 84:(Suppl II):1991;128.
11. Keren A., Kim C.B., Hu B.S., Eyngorina I., Billingham M.E., Mitchell S.R., Miller D.C., Popp R.L., Schnittger I. Accuracy of biplane and multiplane transesophageal echocardiography in diagnosis of typical acute aortic dissection and intramural hematoma. J Am Coll Cardiol. 28:1996;627-636.
12. Alfonsa F., Goicolea J., Aragoncillo P., Hernandez R., Macaya C. Diagnosis of aortic intramural hematoma by intravascular ultrasound imaging. Am J Cardiol. 76:1995;735-738.
13. Rapezzi C., Caporale R., Traini A.M., Fattori R., Gavelli G., Magnani B. Aortic dissection without intimal laceration: a case report and review of the problem. Cardiologia. 38:1993;331-336.
14. Lui R.C., Menkis A.H., Mc Kenzie F.N. Aortic dissection without intimal rupture: diagnosis and management. Ann Thorac Surg. 53:1992;886-888.
15. Muluk S.C., Kaufman J.A., Torchiana D.F., Gertler J.P., Cambria R.P. Diagnosis and treatment of thoracic aortic intramural hematoma. J Vasc Surg. 24:1996;1022-1029.