title: Acute Type B Aortic Pathology Mimicking Acute Type A Intramural Hematoma with Organ Malperfusion.
abstract: The management of acute Stanford Type A intramural hematoma (IMH) of the aorta remains controversial. Most surgeons advocate emergency surgery in a manner similar to frank acute Type A dissection. Others recommend a conservative approach to this distinct clinicopathological entity. We describe a case of acute aortic pathology initially diagnosed as Type A IMH with organ malperfusion, subsequently identified as acute Type B pathology with retrograde and antegrade extension. An endovascular approach was successfully used to exclude the site of origin.
authors.affiliation: Department of Cardiothoracic Surgery, "Hadassah" Hebrew University Medical Center, Jerusalem, Israel.
authors.forename: Eli
authors.initials: E
authors.lastname: Levy
authors.affiliation: Department of Cardiothoracic Surgery, "Hadassah" Hebrew University Medical Center, Jerusalem, Israel.
authors.forename: Amit
authors.initials: A
authors.lastname: Korach
authors.affiliation: Department of Vascular Surgery, "Hadassah" Hebrew University Medical Center, Jerusalem, Israel.
authors.forename: Chen
authors.initials: C
authors.lastname: Rubinstein
authors.affiliation: Department of Cardiology, "Hadassah" Hebrew University Medical Center, Jerusalem, Israel.
authors.forename: Dan
authors.initials: D
authors.lastname: Gilon
authors.affiliation: Department of Cardiothoracic Surgery, "Hadassah" Hebrew University Medical Center, Jerusalem, Israel.
authors.forename: Oz M
authors.initials: OM
authors.lastname: Shapira
keywords: Aortic dissection; Aortic surgery