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Clinical features and long-term outcome of type A and type B intramural hematoma of the aorta.
- Source :
-
The Journal of thoracic and cardiovascular surgery [J Thorac Cardiovasc Surg] 2004 Feb; Vol. 127 (2), pp. 421-7. - Publication Year :
- 2004
-
Abstract
- Objective: Most previous reports on intramural hematoma of the aorta have focused on the initial episode. The purpose of this study was to clarify the long-term outcome of intramural hematoma of the aorta.<br />Methods: Ninety-four cases of intramural hematoma of the aorta (41 type A and 53 type B) were reviewed. There were 69 male and 25 female patients, and their mean age was 66.7 +/- 8.7 years (range, 46-88 years).<br />Results: Eleven (27%) of the patients with type A hematoma and 1 (2%) of the patients with type B hematoma underwent early surgical intervention. Others were treated medically, and the overall hospital mortality was 7% for patients with type versus 2% for patients with type B intramural hematomas of the aorta (P =.315). Twenty-three patients, 9 (22%) with type A and 14 (26%) with type B intramural hematomas of the aorta, underwent late surgical intervention during the follow-up period, and there were no hospital deaths. A total of 23 patients died during the follow-up period, including 6 of intramural hematoma of the aorta-related deaths (3 in the type A group and 3 in the type B group). The estimated freedom from intramural hematoma of the aorta-related events at 1 and 5 years was 70% +/- 8% and 54% +/- 11% for the type A group versus 73% +/- 6% and 58% +/- 8% for the type B group, respectively (P =.972). After excluding the nonintramural hematoma of the aorta-related deaths, the survival rates at 5 and 10 years were 80% +/- 9% and 80% +/- 9% for the type A group and 91% +/- 8% and 81% +/- 11% for the type B group (P =.211).<br />Conclusions: Intramural hematoma of the aorta-related events occur equally in both types of intramural hematoma of the aorta. We recommend close follow-up for at least 5 years because most intramural hematoma of the aorta-related events occur during this period.
- Subjects :
- Aged
Aged, 80 and over
Aortic Dissection diagnosis
Aortic Dissection diagnostic imaging
Aortic Dissection epidemiology
Aortic Aneurysm diagnostic imaging
Aortic Aneurysm epidemiology
Aortic Rupture diagnosis
Aortic Rupture diagnostic imaging
Aortic Rupture epidemiology
Cardiac Surgical Procedures
Cardiac Tamponade diagnosis
Cardiac Tamponade diagnostic imaging
Cardiac Tamponade epidemiology
Female
Follow-Up Studies
Hematoma diagnostic imaging
Hematoma epidemiology
Humans
Japan epidemiology
Male
Middle Aged
Multivariate Analysis
Postoperative Complications epidemiology
Postoperative Complications etiology
Predictive Value of Tests
Retrospective Studies
Risk Factors
Sex Factors
Statistics as Topic
Survival Analysis
Time
Time Factors
Tomography, X-Ray Computed
Treatment Outcome
Aortic Aneurysm diagnosis
Hematoma diagnosis
Subjects
Details
- Language :
- English
- ISSN :
- 0022-5223
- Volume :
- 127
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- The Journal of thoracic and cardiovascular surgery
- Publication Type :
- Academic Journal
- Accession number :
- 14762350
- Full Text :
- https://doi.org/10.1016/j.jtcvs.2003.09.016