Acute Aortic Dissection with Intramural HematomaPossibility of Transition to Classic Dissection or Aneurysm
作者:
Koichi Ide,
Hideo Uchida,
Hideaki Otsuji,
Kiyoshi Nishimine,
Juichi Tsushima,
Hajime Ohishi,
Soichiro Kitamura,
期刊:
Journal of Thoracic Imaging
(OVID Available online 1996)
卷期:
Volume 11,
issue 1
页码: 46-52
ISSN:0883-5993
年代: 1996
出版商: OVID
关键词: Acute aortic dissection;Intramural hematoma;Aneurysm
数据来源: OVID
摘要:
Acute aortic dissection with intramural hematoma has been believed to have a good prognosis, but we have encountered the transition of this entity to a classic dissection or aneurysm. We report the serial computed tomography (CT) features in 27 cases of acute aortic dissection with intramural hematoma. Eleven patients (40.7%) developed a classic dissection or aneurysm during follow-up. Four patients (14.8%) showed transition to a classic dissection without resolution of the intramural hematoma; each had a dilated ascending aorta measuring >5 cm in diameter on the initial CT. One case (3.7%) developed an enlarging aneurysm without resolution of the intramural hematoma. In 19 cases (70.4%), the hematoma resolved; among these 19, the aortic diameter was significantly larger (p< 0.01) than those in a normal control group. Two of these 19 later developed an aneurysm, and four developed a classic dissection. This entity often (40.7%; 11 of 27) required surgical intervention or periodic follow-up CT examinations, particularly with a dilated ascending aorta of >5 cm in diameter.
点击下载:
PDF
(540KB)
返 回