title: Aortic intramural hematoma presenting as paraplegia progressed into segmental aortic dissection.
abstract: Intramural hematoma (IMH) is a newly defined disease entity and the optimal management is still controversial as the disease shows varied clinical course. We present a case of type B IMH, initially presenting with paraplegia progressing to segmental aortic dissection (SAD) which the formed dissection displayed as a segmental distribution pattern. To our knowledge, it may become a new progression pattern of IMH progression. The SAD was successfully treated with both thoracic and abdominal endovascular aortic repair (TEVAR plus EVAR). In 1-year follow-up, the patient recovered almost completely with moderately neurological deficit and the blood pressure is in control.
authors.affiliation: Department of Vascular Surgery, The First Affiliated Hospital of Anhui Medical University, Hefei, China. huagzhu@yeah.net
authors.forename: Hua-Gang
authors.initials: HG
authors.lastname: Zhu
authors.forename: Bin-Shan
authors.initials: BS
authors.lastname: Zha
authors.forename: Bin
authors.initials: B
authors.lastname: Liu
mesh_terms: D000328:Adult; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D001014:Aortic Aneurysm / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D001018:Aortic Diseases / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D001027:Aortography / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation; D018450:Disease Progression; D057510:Endovascular Procedures; D006406:Hematoma / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D010264:Paraplegia / Q000209:etiology*; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome