[Type B intramural hematoma rupture].
A 70-year-old male, who had complained sudden chest pain and sweating, was admitted to our hospital and diagnosed as a type B intramural hematoma rupture. Emergency repair was performed with arch replacement and open-stent method. Post-operative recovery was satisfactory and the patient was discharged. A type B intramural hematoma rupture is relatively rare. Trans-esophagial echocardiography is quite useful to detect the aortic lesion and to determine the ideal depth of the stent-graft.
Inoue
Satomi
S
Department of Cardiovascular and Thoracic Surgery, Hokkaido Prefectural Kitami Hospital, Kitami, Japan.
Yamauchi
A
A
Tabata
A
A
Yamaguchi
T
T
Araida
S
S
D000368:Aged; D001011:Aorta / Q000601:surgery; D001018:Aortic Diseases / Q000175:diagnosis / Q000601:surgery*; D001019:Aortic Rupture / Q000175:diagnosis / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D017548:Echocardiography, Transesophageal; D004630:Emergencies; D006406:Hematoma / Q000601:surgery*; D006801:Humans; D008297:Male; D015607:Stents; D016896:Treatment Outcome