The Dynamic Evolution of Aortic Intramural Hematoma

JACC: Case Reports

Jeffrey Shi Kai Chan, MBChB¹  Christoph A. Nienaber, MD, PhD²  Xun Yuan, MBBS, MMED³  Andreas Mitsis, MD⁴ 

[1] Department of Cardiology, National Heart and Lung Institute, Faculty of Medicine, Imperial College London, London, United Kingdom;Division of Cardiology, Department of Medicine and Therapeutics, Prince of Wales Hospital, Shatin, Hong Kong;Cardiology and Aortic Centre, Royal Brompton Hospital and Harefield NHS Foundation Trust, Imperial College London, London, United Kingdom;Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong;

关键词: acute aortic syndrome;    intramural hematoma;    penetrating atherosclerotic ulcer;    TEVAR;    type B aortic dissection;   

DOI  :  

来源: DOAJ

【 摘 要 】

A 64-year-old man was admitted for crushing chest pain. Computed tomography revealed an aortic intramural hematoma, with progression to a penetrating aortic ulcer on day 7 and aortic dissection on day 30. The patient was treated with strict blood pressure control and thoracic endovascular aortic repair. He was discharged 3 days post-operatively. (Level of Difficulty: Beginner.)

【 授权许可】

Unknown