Intramural Hematoma of the Ascending Aorta -A case report-

상행대동맥 벽내혈종 -1예 보고-

  • Park Chan Beom (Department of Thoracic and Cardiovascular Surgery, The Catholic University of Korea) ;
  • Jo Min Seop (Department of Thoracic and Cardiovascular Surgery, The Catholic University of Korea) ;
  • Jin Ung (Department of Thoracic and Cardiovascular Surgery, The Catholic University of Korea) ;
  • Kim Yong Hwan (Department of Thoracic and Cardiovascular Surgery, The Catholic University of Korea) ;
  • Yoon Jeong Sub (Department of Thoracic and Cardiovascular Surgery, The Catholic University of Korea) ;
  • Wang Young Pil (Department of Thoracic and Cardiovascular Surgery, The Catholic University of Korea) ;
  • Kim Chi Kyung (Department of Thoracic and Cardiovascular Surgery, The Catholic University of Korea)
  • 박찬범 (가톨릭대학교 의과대학 흉부외과학교실) ;
  • 조민섭 (가톨릭대학교 의과대학 흉부외과학교실) ;
  • 진웅 (가톨릭대학교 의과대학 흉부외과학교실) ;
  • 김용환 (가톨릭대학교 의과대학 흉부외과학교실) ;
  • 윤정섭 (가톨릭대학교 의과대학 흉부외과학교실) ;
  • 왕영필 (가톨릭대학교 의과대학 흉부외과학교실) ;
  • 김치경 (가톨릭대학교 의과대학 흉부외과학교실)
  • Published : 2005.05.01

Abstract

Aortic intramural hematoma is a clinical condition that still has not been completely defined. And the treatment of intramural hematoma remains controversial. We present a patient with intramural hematoma combined with hemopericadium who was treated by an emergent surgical treatment.

대동맥 벽내혈종은 아직까지 확립되지 않은 임상양상이며, 이의 치료 또한 이견이 있다. 본 저자들은 혈심낭을 동반한 파열된 벽내혈종의 수술적 치료를 치험하여 보고하는 바이다.

Keywords

References

  1. Coady MA, Rizzo JA, Elefteriades JA. Pathologic variants of thoracic aortic dissections, Penetrating atherosclerotic ulcers and intramural hematomas. Cardiol Clin N Am 1999;17:637-57 https://doi.org/10.1016/S0733-8651(05)70106-5
  2. Svensson LG, Labib SB, Eisenhauer AC, Butterly JR. Intimal tear without hematoma. An important variant of aortic dissection that can elude current imaging techniques. Circulation 1999;99:1331-6 https://doi.org/10.1161/01.CIR.99.10.1331
  3. Maraj R, Rerkpattanapipat P, Jacobs LE, Makornwattana P, Kotler MN. Meta-analysis of 143 reported cases of aortic intramural hematoma. Am J Cardiol 2000;86:664-8 https://doi.org/10.1016/S0002-9149(00)01049-3
  4. Song JK, Kim HS, Kang DH, et al. Different clinical features of aortic intramural hematoma versus dissection involving the ascending aorta. J Am Coll Cardiol 2001;37:1604-10 https://doi.org/10.1016/S0735-1097(01)01184-6
  5. Moizumi Y, Komatsu T, Motoyoshi N, Tabayashi K. Management of patients with intramural hematoma nvolving the ascending aorta. J Thorac Cardiovasc Surg 2002;124:918-24 https://doi.org/10.1067/mtc.2002.125637
  6. Kaji S, Nishigami K, Akasaka T, et al. Prediction of progression or regression of type A aortic intramural hematoma by computed tomography. Circulation 1999;100[suppl II]:II-281-6
  7. Nishigami K, Tsuchiya T, Shono H, Horibata Y, Honda T. Disappearance of aortic intramural hematoma and its significance to the prognosis. Circulation 2000;102[suppl III]:III-243-7
  8. Shimizu H, Yoshino H, Udagawa H, et al. Prognosis of aortic intramural hemorrhage ocmpared with classic aortic dissection. Am J Cardiol 2000;85:792-5 https://doi.org/10.1016/S0002-9149(99)00867-X