Outcomes of Patients With Acute Type A Aortic Intramural Hematoma
作者： Jae-Kwan Song , Ji Hye Yim , Jung-Min Ahn , Dae-Hee Kim , Joon-Won Kang
DOI: 10.1161/CIRCULATIONAHA.109.879783
关键词:
摘要: Background— The proper treatment option for patients with type A intramural hematoma (IMH), a variant form of classic aortic dissection (AD), remains controversial. We assessed the outcome our institutional policy urgent surgery unstable and initial medical stable in cases complications. Methods Results— Among 357 consecutive acute syndrome, 101 (28.3%) had IMH 256 AD. Urgent operations were performed 224 AD (87.5%) 16 (15.8%; P<0.001). remaining 85 received treatment, adverse clinical events developed 31 (36.5%) within 6 months, which included development (n=25), delayed or death (n=6). Initial aorta diameter thickness independent predictors these events, best cutoff values 55 mm, respectively. overall hospital mortality was lower ...
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