Type A Intramural Hematoma

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Acute type A intramural hematoma: analysis of current management strategy.

BACKGROUND Management of acute type A intramural hematoma (IMH) remains controversial, varying from immediate surgery to medical management only. Conversion to typical dissection remains a concern. We analyzed our experience managing acute type A IMH. METHODS AND RESULTS Between October 1999 and May 2008, 251 patients with acute type A aortic dissection were treated, including 36 (14.3%) with...

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Outcomes of patients with acute type a aortic intramural hematoma.

BACKGROUND The proper treatment option for patients with type A intramural hematoma (IMH), a variant form of classic aortic dissection (AD), remains controversial. We assessed the outcome of our institutional policy of urgent surgery for unstable patients and initial medical treatment for stable patients with surgery in cases with complications. METHODS AND RESULTS Among 357 consecutive patie...

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Intramural Hematoma of Esophagus

Intramural hematoma of the esophagus is the least common form of traumatic injuries of the esophagus. It can be spontaneous or secondary. The classic triad of presentation includes chest pain, dysphagia and hemetemesis. Most of cases are diagnosed by endoscopy, with various other modalities like barium swallow, CT scan or endo-ultrasound acting as complimentary investigative tools. The manageme...

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Type A intramural hematoma often turns out to be a type A dissection.

BACKGROUND The management of type A intramural hematoma (IMH) is controversial. Although most Western countries still recommend immediate surgical repair, some centers in Asia have shown good results recently with medical treatment alone. Here, we present a case of type A IMH which was discovered during the operation to be a thrombosed type A dissection. CASE REPORT An 83-year-old female pati...

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Intramural Hematoma of the Esophagus

We report the case of a patient with an intramural hematoma of the esophagus. This rare condition is more common in elderly women and can be misdiagnosed as cardiovascular or other digestive emergent disease. The classical clinical triad includes chest pain, sudden dysphagia or odynophagia and minor hematemesis. Known precipitating factors are Valsalva maneuver, blunt, direct or iatrogenic inju...

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ژورنال

عنوان ژورنال: JACC: Case Reports

سال: 2020

ISSN: 2666-0849

DOI: 10.1016/j.jaccas.2020.05.053