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Volumn 22, Issue 6, 2007, Pages 504-509

Intramural hematoma and penetrating aortic ulcer

Author keywords

Acute aortic dissection; Acute aortic syndrome; Endovascular stent grafting; Intramural hematoma; Penetrating aortic ulcer

Indexed keywords

BETA ADRENERGIC RECEPTOR BLOCKING AGENT;

EID: 35148863114     PISSN: 02684705     EISSN: None     Source Type: Journal    
DOI: 10.1097/HCO.0b013e3282f0fd72     Document Type: Review
Times cited : (31)

References (49)
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    • Kaya A, Heijmen RH, Overtoom TT, et al. Thoracic stent grafting for acute aortic pathology. Ann Thorac Surg 2006; 82:560-565. This series of 28 patients included four with IMH and one with PAU as well as 12 complicated type B dissections. Although one cannot necessarily hold the technology responsible for the hospital mortality rate of 21% given the extreme condition of many of the candidates, there were new neurologic symptoms in four patients, demonstrating that use of the technology is not without risk.
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    • Song JK, Kang SJ, Song JM, et al. Factors associated with in-hospital mortality in patients with acute aortic syndrome involving the ascending aorta. Int J Cardiol 2007; 115:14-18. This report updates the Korean experience with type A IMH and dissection. Of particular note, the overall mortality rate for type A IMH was 8, With 31% of IMH patients ultimately undergoing surgery, the operative mortality rate was actually lower, at 6, This weakens the argument against surgery in my view, as does the higher prevalence of tamponade observed among those with IMH than those with acute dissection (25% versus 11, Among those with IMH and tamponade, the mortality rate among surgically treated patients was 20% as compared with 29% with paracentesis and medical management. Why then wait for the patient to develop tamponade? It does show, however, that for particularly high-operativerisk patients with low risk of progression of their IMH, there may be a (very small and specific) place for
    • Song JK, Kang SJ, Song JM, et al. Factors associated with in-hospital mortality in patients with acute aortic syndrome involving the ascending aorta. Int J Cardiol 2007; 115:14-18. This report updates the Korean experience with type A IMH and dissection. Of particular note, the overall mortality rate for type A IMH was 8%. With 31% of IMH patients ultimately undergoing surgery, the operative mortality rate was actually lower, at 6%. This weakens the argument against surgery in my view, as does the higher prevalence of tamponade observed among those with IMH than those with acute dissection (25% versus 11%). Among those with IMH and tamponade, the mortality rate among surgically treated patients was 20% as compared with 29% with paracentesis and medical management. Why then wait for the patient to develop tamponade? It does show, however, that for particularly high-operativerisk patients with low risk of progression of their IMH, there may be a (very small and specific) place for nonoperative management.
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    • Kaji S, Akasaka T, Horibata Y, et al. Long-term prognosis of patients with type a aortic intramural hematoma. Circulation 2002; 106 (12 Suppl 1):I248-I252.
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    • Kaji, S.1    Akasaka, T.2    Horibata, Y.3
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    • Clinical features and long-term outcome of type A and type B intramural hematoma of the aorta
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    • Moizumi, Y.1    Komatsu, T.2    Motoyoshi, N.3    Tabayashi, K.4


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.