2,397 results match your criteria intramural hematoma


Thoracic Endovascular Aortic Repair for Retrograde Type A Aortic Intramural Hematoma.

Front Cardiovasc Med 2021 30;8:712524. Epub 2021 Aug 30.

Department of Cardiothoracic and Vascular Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

To evaluate the effects of thoracic endovascular aortic repair (TEVAR) in descending aorta for retrograde type A aortic intramural hematoma (re-TAIMH). From January 2013 to September 2019, 65 consecutive patients diagnosed with re-TAIMH and treated by TEVAR were enrolled in this retrospective cohort study, of whom 44 patients presented with entry tear in descending aorta (Group A) and 21 with penetrating atherosclerotic ulcer (Group B). The clinical data, including baseline characteristics, adverse events, aortic remolding, and overall survival were reviewed. Read More

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Note the descending aorta: predictors of postoperative major adverse aortic event in pure acute type A intramural hematoma.

J Thorac Dis 2021 Aug;13(8):4935-4946

Department of Cardiovascular Surgery, Yonsei Cardiovascular Hospital, Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea.

Background: Intramural hematomas (IMHs) may originate from small intimal tears. Although most surgeries for acute type A IMH are conventionally performed solely at the proximal aorta, regardless of the primary intimal tear site, the remnant aortic remodeling stays important during the follow-up period after surgery.

Methods: Forty-seven patients with "pure" acute type A IMHs who underwent surgery from January 2008 to December 2019 were retrospectively analyzed. Read More

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Clinical implication of multimodality imaging of aortic root intramural hematoma.

Int J Cardiovasc Imaging 2021 Sep 15. Epub 2021 Sep 15.

Clinical Cardiology Unit, Cardio-Thoracic-Vascular Department, San Raffaele Scientific Institute, Via Olgettina 60, 20132, Milan, Italy.

We present a case of a chronic intramural haematoma of the aortic root discovered in the setting of an acute coronary syndrome. We investigated the nature of the lesion through echocardiography, computed-tomography, magnetic resonance and positron emission tomography. In conclusion, the use of complex multimodality imaging led to the final diagnosis and allowed to define the proper management of the lesion. Read More

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September 2021

Small Bowel Obstruction: A Rare Presentation of the Inferior Pancreaticoduodenal Artery Pseudoaneurysm Bleed.

Cureus 2021 Aug 6;13(8):e16943. Epub 2021 Aug 6.

Intervention Radiology, Geisin, Wilkes Barre, USA.

Intra-abdominal and intramural hematomas are well-known complications of pseudoaneurysms. We present a case of small bowel obstruction as a result of external mechanical compression from hematoma. Bleeding was localized to the pseudoaneurysm of the gastroduodenal artery and inferior pancreaticoduodenal artery. Read More

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The invasive intracoronary imaging assessment of left main coronary artery disease.

Med Ultrason 2021 Sep 11. Epub 2021 Sep 11.

"Iuliu Hatieganu" University of Medicine and Pharmacy, 1st Medical Department, Cluj-Napoca, Romania.

Left main coronary artery disease is associated with an unfavorable prognosis. Evidence-based decision making regarding the optimal revascularization strategy in patients with left main disease has become a challenge, in view of the recently published data. An improvement in outcomes following left main percutaneous interventions could be achieved by reducing the rate of repeat target lesion revascularization through stent optimization techniques. Read More

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September 2021

Ethnic differences in incidence and outcomes of acute aortic syndromes in the Midland-region of New Zealand.

J Vasc Surg 2021 Sep 7. Epub 2021 Sep 7.

Department of Surgery, University of Auckland, Auckland, New Zealand; Department of Vascular Surgery, Waikato Hospital, Hamilton, New Zealand. Electronic address:

Background: Disparities in cardiovascular disease based on socio-economic factors and ethnicity are a global issue. The indigenous Māori population of New Zealand is not exempt. The aims of this study were to assess if ethnic disparities exist in the presentation and outcomes of acute aortic syndrome (AAS: aortic dissection, intramural hematoma and penetrating aortic ulcer) in New Zealand. Read More

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September 2021

IMPACT OF THORACIC ENDOVASCULAR AORTIC REPAIR TIMING ON AORTIC REMODELING IN ACUTE TYPE B AORTIC INTRAMURAL HEMATOMA.

J Vasc Surg 2021 Sep 7. Epub 2021 Sep 7.

Eastern Virginia Medical School, Division of Vascular Surgery, Norfolk, VA. Electronic address:

Introduction: Thoracic endovascular aortic repair (TEVAR) is increasingly utilized in the management of acute type B aortic intramural hematoma (TBIMH). Optimal timing for intervention has not been described. The aim of this study was to evaluate TEVAR timing on post-operative aortic remodeling. Read More

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September 2021

A Novel Computed Tomography-Based Imaging Approach for Etiology Evaluation in Patients With Acute Coronary Syndrome and Non-obstructive Coronary Angiography.

Front Cardiovasc Med 2021 24;8:735118. Epub 2021 Aug 24.

Department of Radiology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.

This study sought to investigate the diagnostic value of dynamic CT myocardial perfusion imaging (CT-MPI) combined with coronary CT angiography (CCTA) in acute coronary syndrome (ACS) patients without obstructive coronary angiography. Consecutive ACS patients with normal or non-obstructive coronary angiography findings who had cardiac magnetic resonance (CMR) contraindications or inability to cooperate with CMR examinations were prospectively enrolled and referred for dynamic CT-MPI + CCTA + late iodine enhancement (LIE). ACS etiology was determined according to combined assessment of coronary vasculature by CCTA, quantified myocardial blood flow (MBF) and presence of LIE. Read More

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Intramural Esophageal Hematoma with Herpes Esophagitis.

Intern Med 2021 Sep 4. Epub 2021 Sep 4.

Division of Critical Care Medicine, Nara Prefecture General Medical Center, Japan.

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September 2021

Outcomes of intramural hematoma involving the ascending aorta and extending into the descending thoracic aorta.

J Vasc Surg 2021 Sep 2. Epub 2021 Sep 2.

Division of Cardiothoracic and Vascular Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China; Key Laboratory of Organ Transplantation, Ministry of Education; NHC Key Laboratory of Organ Transplantation; Key Laboratory of Organ Transplantation, Chinese Academy of Medical Sciences. Electronic address:

Background: The optimal treatment of intramural hematoma (IMH) involving the ascending aorta remains controversial. This study aimed to analyze the results of the management of patients with acute IMH involving the ascending aorta and extending into the descending thoracic aorta, to compare outcomes of descending thoracic endovascular aortic repair (TEVAR) with that of medical therapy (MT), and to assess the risk factors associated with adverse aortic events.

Methods: We retrospectively analyzed all patients diagnosed with acute IMH involving the ascending aorta and extending into the descending thoracic aorta from January 2012 to December 2019. Read More

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September 2021

Intravascular ultrasound-guided treatment for simultaneous ostial left main intramural hematoma and anomalous right aortocoronary dissection.

Int J Cardiovasc Imaging 2021 Aug 31. Epub 2021 Aug 31.

Division of Cardiology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, 123, Ta Pei Road, Niao Sung District, Kaohsiung City, 83301, Taiwan.

The prevalence of iatrogenic catheter-induced ostial coronary artery dissection is very low (0.09%) (1). The incidence of coronary anomalies (total) is 5. Read More

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Perforated spontaneous intestinal intramural haematoma.

Authors:
Dys Chan G S Ooi

Ann R Coll Surg Engl 2021 Sep;103(8):e262-e263

Khoo Teck Puat Hospital, Singapore.

Spontaneous intestinal intramural haematomas are uncommon in the absence of trauma and may occur in those on anticoagulation. A young girl presented with generalised abdominal pain and was found to have pneumoperitoneum. She underwent an exploratory laparotomy and was found to have multiple ileal intramural haematomata with an area of possible perforation with a collection of pus. Read More

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September 2021

A dissecting intramural left ventricular hematoma complicating acute myocardial infarction.

Cardiovasc Revasc Med 2021 Aug 19. Epub 2021 Aug 19.

Department of cardiovascular medicine, Tanta University Hospital, Tanta, Egypt. Electronic address:

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Systematic review of the effectiveness of carotid surgery and endovascular carotid stenting versus best medical treatment in managing symptomatic acute carotid artery dissection.

Ann Transl Med 2021 Jul;9(14):1212

College of Nursing and Midwifery, National University of Ireland, Galway, Ireland.

Cervical artery dissection (CeAD) with an intramural haematoma can lead to stroke risk, especially in young patients. We performed comprehensive searches of the Cochrane Stroke Group Trials Register, the CENTRAL, MEDLINE and EMBASE to review the effectiveness of surgical and endovascular interventions versus best medical treatment alone for symptomatic CeAD. Furthermore, we aim to elaborate on the phenotypic individual disease manifestations of spontaneous Cervical Artery Dissection (sCAD) and how they translate into stroke and risk of dissection recurrence. Read More

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Left atrial intramural hematoma after percutaneous coronary intervention.

Clin Case Rep 2021 Aug 15;9(8):e04654. Epub 2021 Aug 15.

Department of Cardiovascular Surgery Kumamoto University Hospital Kumamoto Japan.

Left atrial intramural hematoma is a rare complication of percutaneous coronary intervention. The combination treatment with surgery and interventional therapy is one of therapeutic options. Read More

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Endovascular repair for retrograde type A intramural hematoma with focal intimal disruption in descending aorta.

J Thorac Dis 2021 Jul;13(7):4250-4259

Department of Vascular Surgery, the Second Xiangya Hospital, Central South University, Changsha, China.

Background: This study aims to report the experience of a single center using thoracic endovascular aortic repair (TEVAR) to treat retrograde type A intramural hematoma (IMH) with focal intimal disruption (FID) in descending aorta.

Methods: A total of 24 consecutive patients with retrograde type A IMH and complicated with FID in descending aorta underwent TEVAR in our center from 2015 to 2020. Their clinical data, imaging manifestation and follow-up results were retrospectively reviewed and analyzed. Read More

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Basilar dolichoectasia with intermural hematoma accompanied by cerebral microbleeds and white matter hyperintensities: A case report.

Medicine (Baltimore) 2021 Aug;100(33):e27022

Department of Neurology, The First Hospital of Shanxi Medical University, Taiyuan, China.

Rationale: The clinical manifestations of basilar dolichoectasia (BD) are variable. The diagnosis is based on imaging measurements. Digital subtraction angiography displays only the dilated vascular lumen and lacks visualization of the arterial wall. Read More

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CT features of blunt abdominal aortic injury: an infrequent but life-threatening event.

Emerg Radiol 2021 Aug 18. Epub 2021 Aug 18.

Department of Radiology, Hospital Universitario Doce de Octubre, Avenida de Córdoba s/n, 28041, Madrid, Spain.

Blunt injury to the abdominal aorta is a rare but potentially fatal event. Despite being much less common than thoracic aorta involvement, it carries high morbidity and mortality. Computed tomography (CT) has become the standard method for evaluating the trauma patient and can provide a rapid accurate diagnosis of aortic injury. Read More

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Surviving strangulation: evaluation of non-fatal strangulation in patients presenting to a tertiary care sexual assault and partner abuse care program.

CJEM 2021 Aug 17. Epub 2021 Aug 17.

Department of Emergency Medicine, University of Ottawa, The Ottawa Hospital-Civic Campus, Ottawa, ON, K1Y 4E9, Canada.

Background: Non-fatal strangulation is a dangerous mechanism of injury among survivors of intimate partner violence and sexual assault, with inadequate evidence to guide investigation in the emergency department (ED). The primary objective is to identify the proportion of intimate partner violence and sexual assault where non-fatal strangulation occurs, and to describe the sequelae of injuries.

Methods: Health records review of patients treated at the Sexual Assault and Partner Abuse Care Program (SAPACP) and/or Trauma Program at a tertiary level hospital between January 2015 and December 2018. Read More

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"Undiagnosed aortic coarctation with 2 simultaneous acute aortic syndromes: Intramural hematoma and mycotic aneurysm".

Radiol Case Rep 2021 Oct 3;16(10):2934-2937. Epub 2021 Aug 3.

Department of Radiology, University of New Mexico, MSC 10 5530, 1, Albuquerque, NM 87131, USA.

Acute aortic syndrome can be a fatal pathology if not diagnosed and managed early. Although acute aortic syndrome is more often a diagnosis of adulthood, it may occasionally afflict the pediatric patients. We herein present a case of a 5-year-old female that was discovered to have multiple acute and congenital aortic abnormalities after presenting to the emergency department with infectious symptoms and lower extremity pain. Read More

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October 2021

Management of the penetrating atherosclerotic ulcer in the descending thoracic aorta.

Asian Cardiovasc Thorac Ann 2021 Sep 16;29(7):661-668. Epub 2021 Aug 16.

Vascular Surgery Department, 155510Royal Blackburn Teaching Hospital, UK.

Penetrating atherosclerotic ulcers present with an insidious onset with a reported mortality of 9%, varying across populations. With vast arrays of risk factors and potentially ominous complications, it is vital to efficiently provide optimum strategies for management. There exists controversy in the literature regarding management, especially for Type B penetrating atherosclerotic ulcers; the decision-making framework encompasses numerous factors in considerations for medical management versus invasive intervention and choice of endovascular versus open repair in the latter. Read More

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September 2021

Prognostication of Asymptomatic Penetrating Aortic Ulcers: A Modern Approach.

Circulation 2021 Aug 11. Epub 2021 Aug 11.

Division of Vascular and Endovascular Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA.

Literature detailing the natural history of asymptomatic penetrating aortic ulcers (PAU) is sparse and lacks long-term follow-up. This study sought to determine the rate of asymptomatic PAU growth over time and adverse events from asymptomatic PAU. A cohort of patients with asymptomatic PAU from 2005-2020 was followed. Read More

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Surgical treatment of colonic intramural haematoma secondary to penetrating trauma.

ANZ J Surg 2021 Aug 10. Epub 2021 Aug 10.

Trauma Service, Westmead Hospital, Westmead, New South Wales, Australia.

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Intramural Hematoma and Focal Intimal Disruption: The Importance of Communication.

Radiology 2021 Aug 10:211564. Epub 2021 Aug 10.

From the Mallinckrodt Institute of Radiology (C.A.R.) and Cardiovascular Division, Department of Medicine (A.C.B.), Washington University School of Medicine, 510 S Kingshighway Blvd, St Louis, MO 63110.

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Focal Intimal Disruption Size at Multidetector CT and Disease Progression in Type B Aortic Intramural Hematoma.

Radiology 2021 Aug 10:204385. Epub 2021 Aug 10.

From the Department of Cardiovascular Medicine, Kobe City Medical Center General Hospital, 2-1-1 Minatojima-minamimachi, Chuo-ku, 650-0047 Kobe, Japan.

Background Recent imaging techniques show that patients with aortic intramural hematoma (IMH) have various sizes of focal intimal disruptions (FIDs) that may affect clinical outcomes. Purpose To evaluate the relationship between size of FIDs detected at multidetector CT and disease progression in patients with type B IMH. Materials and Methods This retrospective study analyzed consecutive patients with type B IMH who underwent multidetector CT at admission within 24 hours after symptom onset from January 2011 to March 2017. Read More

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Characteristics, Management, and Prognosis of Spontaneous Coronary Intramural Hematoma.

Angiology 2021 Aug 4:33197211036220. Epub 2021 Aug 4.

Department of Cardiology, Shanghai Institute of Cardiovascular Diseases, Zhongshan Hospital, 92323Fudan University, shanghai, China.

Spontaneous coronary intramural hematoma (SCIH) was one type of spontaneous coronary artery dissection without obvious intimal tear, which is easy to misdiagnose. We aimed to study the characteristics, management, and prognosis of SCIH in our center. All the SCIH patients (n = 30) diagnosed by coronary angiography from January 1, 2012 to December 31, 2018 were enrolled. Read More

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A novel modification of frozen elephant trunk technique: unique protocol from one institution.

Eur Rev Med Pharmacol Sci 2021 Jul;25(14):4738-4745

Department of Cardiovascular and Thoracic Surgery, Viet Duc University Hospital, Hanoi, Vietnam.

Objective: We aim to present a novel surgical technique of Frozen Elephant Trunk (FET) to treat complex thoracic aortic diseases in one stage and report its short-term outcomes.

Patients And Methods: Between December 2019 and 30 April 2021, twenty-five patients underwent FET operation at Viet Duc University Hospital. The mean age of the patients was 55. Read More

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Outcome analysis of the Gore Conformable Thoracic Stent Graft with active control system for the treatment of arch and descending thoracic aortic disease.

Eur J Cardiothorac Surg 2021 Jul 31. Epub 2021 Jul 31.

Department of Vascular and Endovascular Surgery, Heidelberg University Hospital, Heidelberg, Germany.

Objectives: The aim of this study was to evaluate technical/clinical outcomes of the Gore TAG Conformable Thoracic Stent Graft with Active Control System (CTAG with ACS) in thoracic aortic disease since its introduction in Europe in 2017.

Methods: Patients undergoing thoracic endovascular aortic repair (TEVAR) with the device between 2017 and 2020 were identified from a prospectively maintained single-centre database and retrospectively analysed. Predominant indications were aortic dissection (n = 46), thoracic/thoraco-abdominal aneurysm (n = 20/n = 7), penetrating ulcer (n = 14) and intramural haematoma (n = 12). Read More

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Intimal Flap Sealing and Healing of Spontaneous Coronary Artery Dissection With Drug-Eluting Balloons.

JACC Cardiovasc Interv 2021 Aug 28;14(16):1843-1845. Epub 2021 Jul 28.

Division of Cardiology, Cardiocentro Ticino Institute, Ente Ospedaliero Cantonale (EOC), Lugano, Switzerland; Department of Cardiology, University of Bern, Bern, Switzerland. Electronic address:

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'Ulcer-like projection' in uncomplicated acute type B intramural haematoma: might we prevent or protect from an unexpected event?

Eur J Cardiothorac Surg 2021 Jul 30. Epub 2021 Jul 30.

Vascular Surgery-Department of Surgical and Clinical Sciences, University of Brescia School of Medicine, Brescia, Italy.

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