The differences and similarities between intramural hematoma of the descending aorta and acute type B dissection

Jip L. Tolenaar, Kevin M. Harris, Gilbert R. Upchurch, Arturo Evangelista, Frans L. Moll, Marco Di Eusanio, Kim Eagle, Santi Trimarchi

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction Aortic intramural hematoma type B (IMHB) is a variant of acute aortic syndrome, which presents with symptoms similar to classic type B aortic dissection (ABAD). However, the natural history of IMHB is not well understood. The purpose of this study was to better characterize IMHB, comparing its clinical characteristics, treatment, and in-hospital and long-term outcomes to those with classic ABAD. Methods A total of 107 IMHB and 790 ABAD patients enrolled in the International Registry of Acute Aortic Dissection (IRAD) between January 1996 and June 2012 were analyzed. Accordingly, differences in presentation, diagnostics, therapeutic management, and outcomes were assessed. Results As compared with the ABAD, IMHB presented predominantly in males (62% vs 33%; P

Original languageEnglish
Pages (from-to)1498-1504
Number of pages7
JournalJournal of Vascular Surgery
Volume58
Issue number6
DOIs
Publication statusPublished - Dec 2013

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

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