Korean J Med.
2006 Aug;71(2):203-207.
A case of stent-graft insertion for treatment of localized aortic dissection developed during medical treatment of aortic intramural hematoma
- Affiliations
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- 1Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. jksong@amc.seoul.kr
- 2Department of Diagnostic Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Abstract
- Aortic intramural hematoma, a variant form of classic aortic dissection, has been accepted as an increasingly recognized and potentially fatal entity of acute aortic syndrome. Although favorable clinical course and resorption of hematoma has been reported with medical treatment, it can progress to development of typical aortic dissection in a localized aortic segment. The standard treatment option for this lesion has not been established. We report a case of a 50 year-old male who developed localized aortic dissection during medical treatment for distal aortic intramural hematoma and was successfully treated with a stent-graft.
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