[Extensive intramural hematoma of the thoracic aorta].
A[TRACE;del] 53-year-old hypertensive patient presenting with acute chest pain was found to have an intramural haematoma (IMH) of both ascending and descending aorta associated with a 6 cm ascending fusiform aortic aneurysm. Six weeks of antihypertensive treatment allowed complete resolution of the intramural haematoma of the descending aorta. Limited surgical repair of the ascending aorta by Gore-Tex graft prosthesis interposition was then performed. The patient was in good health with a one-year follow-up.
Tueche
S G
SG
Département de chirurgie cardiaque du CHU Brugmann, Bruxelles, Belgique.
De Smet
J M
JM
D000784:Aortic Dissection / Q000601:surgery; D001013:Aorta, Thoracic; D017545:Aortic Aneurysm, Thoracic / Q000150:complications / Q000601:surgery; D001018:Aortic Diseases / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D002637:Chest Pain / Q000209:etiology; D006406:Hematoma / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D011138:Polytetrafluoroethylene; D019919:Prosthesis Implantation; D013526:Surgical Mesh
D011138:Polytetrafluoroethylene