Timing of Intervention for Aortic Intramural Hematoma.

Humans Aortic Intramural Hematoma Treatment Outcome Aortic Diseases / diagnostic imaging Aortic Dissection / diagnostic imaging Hematoma / diagnostic imaging Aorta, Thoracic / surgery

Journal

Annals of vascular surgery
ISSN: 1615-5947
Titre abrégé: Ann Vasc Surg
Pays: Netherlands
ID NLM: 8703941

Informations de publication

Date de publication:
Aug 2023
Historique:
received: 07 09 2022
accepted: 17 09 2022
medline: 4 8 2023
pubmed: 30 10 2022
entrez: 29 10 2022
Statut: ppublish

Résumé

Intramural hematoma (IMH) is one of the acute aortic syndromes along with acute aortic dissection and penetrating aortic ulcer. The three conditions can occur alone or in combination with overlapping presentation. Medical, open surgical, and endovascular treatment is tailored depending on clinical presentation, timing, and location within the aorta. Among patients who present with acute IMH affecting the ascending aorta (Type A), urgent open surgical repair is considered the primary line of treatment in patients who are suitable candidates and unstable. The management of IMH in the descending aorta and aortic arch (Type B) is similar to that applied to treat acute dissections in the same segment. Medical treatment with sequential imaging is recommended in patients with uncomplicated course, and endovascular repair is indicated in patients with rupture, persistent pain, end-organ ischemia, or rapid aortic enlargement. This review discusses the ideal timing for treatment of IMH.

Identifiants

DOI: 10.1016/j.avsg.2022.09.041 PMID: 36309166
pubmed: 36309166
pii: S0890-5096(22)00614-8
doi: 10.1016/j.avsg.2022.09.041
pii:
doi:

Types de publication

Review Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

14-21

Informations de copyright

Copyright © 2022 Elsevier Inc. All rights reserved.

Auteurs

Andrea Vacirca (A)

Department of Cardiothoracic & Vascular Surgery, Advanced Aortic Research Program at the University of Texas Health Science Center at Houston, McGovern Medical School, Houston, TX.

Marina Dias Neto (M)

Department of Cardiothoracic & Vascular Surgery, Advanced Aortic Research Program at the University of Texas Health Science Center at Houston, McGovern Medical School, Houston, TX.

Aidin Baghbani-Oskouei (A)

Department of Cardiothoracic & Vascular Surgery, Advanced Aortic Research Program at the University of Texas Health Science Center at Houston, McGovern Medical School, Houston, TX.

Ying Huang (Y)

Department of Cardiothoracic & Vascular Surgery, Advanced Aortic Research Program at the University of Texas Health Science Center at Houston, McGovern Medical School, Houston, TX.

Emanuel R Tenorio (ER)

Department of Cardiothoracic & Vascular Surgery, Advanced Aortic Research Program at the University of Texas Health Science Center at Houston, McGovern Medical School, Houston, TX.

Anthony Estrera (A)

Department of Cardiothoracic & Vascular Surgery, Advanced Aortic Research Program at the University of Texas Health Science Center at Houston, McGovern Medical School, Houston, TX.

Gustavo S Oderich (GS)

Department of Cardiothoracic & Vascular Surgery, Advanced Aortic Research Program at the University of Texas Health Science Center at Houston, McGovern Medical School, Houston, TX. Electronic address: gustavo.oderich@uth.tmc.edu.

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Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Timing of Intervention for Aortic Intramural Hematoma.
questionsmedicales.fr › États, signes et symptômes pathologiques › Processus pathologiques › Hémorragie › Hématome › Hématome aortique intramural › Timing of Intervention for Aortic Intramural Hematoma.
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Qualité des soins de santé › Mécanismes d'évaluation des soins de santé › Évaluation des résultats et des processus en soins de santé › Évaluation de résultat (soins) › Résultat thérapeutique › Timing of Intervention for Aortic Intramural Hematoma.
questionsmedicales.fr › Maladies cardiovasculaires › Maladies vasculaires › Maladies de l'aorte › Timing of Intervention for Aortic Intramural Hematoma.
questionsmedicales.fr › Maladies cardiovasculaires › Maladies vasculaires › Maladies de l'aorte › Syndrome aortique aigu › Dissection aortique › Timing of Intervention for Aortic Intramural Hematoma.
questionsmedicales.fr › États, signes et symptômes pathologiques › Processus pathologiques › Hémorragie › Hématome › Timing of Intervention for Aortic Intramural Hematoma.
questionsmedicales.fr › Système cardiovasculaire › Vaisseaux sanguins › Artères › Aorte › Aorte thoracique › Timing of Intervention for Aortic Intramural Hematoma.