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

ABSTRACT:

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. Acute type A IMH in the entire region without penetrating aortic ulcer (PAU) and aortic dissection (AD), which upon initial computed tomography (CT), can be considered as an intimal tear site, was defined as "pure" type. The maximal diameter of the aorta, maximal thickness of the IMH, and hematoma thickness ratio (HTR)

SUBMITTER: Kim MS 

PROVIDER: S-EPMC8411190 | biostudies-literature | 2021 Aug

REPOSITORIES: biostudies-literature