HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Lui, R. C. Articles by McKenzie, F. N. Search for Related Content PubMed PubMed Citation Articles by Lui, R. C. Articles by McKenzie, F. N.

The Annals of Thoracic Surgery, Vol 53, 886-888, Copyright © 1992 by The Society of Thoracic Surgeons

ARTICLES

Aortic dissection without intimal rupture: diagnosis and management

RC Lui, AH Menkis and FN McKenzie
Division of Cardiovascular and Thoracic Surgery, University Hospital, University of Western Ontario, London, Canada.

A 59-year-old man had symptoms of aortic dissection. Computed tomography and angiography showed a large intramural hematoma of the ascending and descending aorta without intimal defect or false lumen. The hematoma resolved completely within 7 weeks with medical treatment. His symptoms recurred 6 months later. Computed tomography and angiography demonstrated a type B dissection with a false lumen and an intimal defect. This case illustrated the progressive nature of aortic dissection without intimal rupture. The diagnostic criteria and therapeutic options are discussed.

This article has been cited by other articles:

				K. R. Cho, A. W. Stanson, D. D. Potter, K. J. Cherry, H. V. Schaff, and T. M. Sundt III Penetrating atherosclerotic ulcer of the descending thoracic aorta and arch J. Thorac. Cardiovasc. Surg., May 1, 2004; 127(5): 1393 - 1401. [Abstract] [Full Text] [PDF]

				S. D. Moffatt and R. S. Mitchell Endovascular Stent Management of Thoracic Aneurysms and Dissections Card. Surg. Adult, January 1, 2003; 2(2003): 1191 - 1204. [Full Text]

				S. Kaji, T. Akasaka, Y. Horibata, K. Nishigami, H. Shono, M. Katayama, A. Yamamuro, S. Morioka, I. Morita, K. Tanemoto, et al. Long-Term Prognosis of Patients With Type A Aortic Intramural Hematoma Circulation, September 24, 2002; 106(12_suppl_1): I-248 - I-252. [Abstract] [Full Text] [PDF]

				C. A. Nienaber and H.-H. Sievers Intramural Hematoma in Acute Aortic Syndrome: More Than One Variant of Dissection? Circulation, July 16, 2002; 106(3): 284 - 285. [Full Text] [PDF]

				R. H. Mehta, T. Suzuki, P. G. Hagan, E. Bossone, D. Gilon, A. Llovet, L. C. Maroto, J. V. Cooper, D. E. Smith, W. F. Armstrong, et al. Predicting Death in Patients With Acute Type A Aortic Dissection Circulation, January 15, 2002; 105(2): 200 - 206. [Abstract] [Full Text] [PDF]

				N. S. Sawhney, A. N. DeMaria, and D. G. Blanchard Aortic Intramural Hematoma : An Increasingly Recognized and Potentially Fatal Entity Chest, October 1, 2001; 120(4): 1340 - 1346. [Abstract] [Full Text] [PDF]

				H. Yoshino, E. Kachi, S. Matsue, M. Yotsukura, and K. Ishikawa Transition from Classic Aortic Dissection to Aortic Intramural Hemorrhage: A Case Report Angiology, November 1, 2000; 51(11): 971 - 975. [Abstract] [PDF]

				S. Kaji, K. Nishigami, T. Akasaka, T. Hozumi, T. Takagi, T. Kawamoto, H. Okura, H. Shono, Y. Horibata, T. Honda, et al. Prediction of Progression or Regression of Type A Aortic Intramural Hematoma by Computed Tomography Circulation, November 9, 1999; 100(90002): II-281 - 286. [Abstract] [Full Text] [PDF]

				M. Porcellini, S. Elia, L. Camera, and G. Bracale Intramural hematoma of the thoracic aorta in octogenarians: is non operation justified? Eur. J. Cardiothorac. Surg., October 1, 1999; 16(4): 414 - 417. [Abstract] [Full Text] [PDF]

				Y. Moriyama, G. Yotsumoto, K. Kuriwaki, S. Watanabe, K. Hisatomi, S. Shimokawa, H. Toyohira, and A. Taira Intramural hematoma of the thoracic aorta Eur. J. Cardiothorac. Surg., March 1, 1998; 13(3): 230 - 239. [Abstract] [Full Text] [PDF]

				Y. Moriyama, K. Shiota, K. Hisatomi, S. Watanabe, H. Saigenji, S. Shimokawa, H. Toyohira, A. Taira, and Y. Moriyama Acute Type A Aortic Dissection Following Intramural Hematoma of the Aorta: A Case Report Angiology, September 1, 1997; 48(9): 839 - 841. [Abstract] [PDF]

				N. T. Kouchoukos and D. Dougenis Surgery of the Thoracic Aorta N. Engl. J. Med., June 26, 1997; 336(26): 1876 - 1889. [Full Text] [PDF]

				P. T. O'Gara and R. W. DeSanctis Acute Aortic Dissection and Its Variants : Toward a Common Diagnostic and Therapeutic Approach Circulation, September 15, 1995; 92(6): 1376 - 1378. [Full Text]

				C. A. Nienaber, Y. von Kodolitsch, B. Petersen, R. Loose, U. Helmchen, A. Haverich, and R. P. Spielmann Intramural Hemorrhage of the Thoracic Aorta : Diagnostic and Therapeutic Implications Circulation, September 15, 1995; 92(6): 1465 - 1472. [Abstract] [Full Text]

				L. K. von Segesser, I. Killer, M. Ziswiler, A. Linka, M. Ritter, R. Jenni, M. , P. C. Baumann, and M. I. Turina Dissection of the descending thoracic aorta extending into the ascending aortaA therapeutic challenge J. Thorac. Cardiovasc. Surg., October 1, 1994; 108(4): 755 - 761. [Abstract] [Full Text]