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대동맥벽내 혈종 15예의 임상상 및 추적관찰 소견

Other Titles
 The Clinical Presentation and Course of Intramural Hematoma of Aorta 
Authors
 김건영  ;  정남식  ;  임세중  ;  김종현  ;  홍범기  ;  하종원  ;  권준  ;  이문형  ;  이영준  ;  심원흠  ;  조승연  ;  김성순  ;  이도연 
Citation
 Journal of the Korean Society of Echocardiography (한국심초음파학회지), Vol.3(2) : 188-195, 1995-12 
Journal Title
Journal of the Korean Society of Echocardiography(한국심초음파학회지)
ISSN
 1225-6021 
Issue Date
1995-12
Abstract
Aortic intramural hematma(IMH) has been known as a variant of acute aortic dissection without intimal rupture. The clinical presentation mimics that of acute aortic dissection. IMH may progress to frank aortic dissection or aortic rupture. Therefore IMH maybe regarded as early sign of developing classic aortic dissection or a precipitating facter. there are Important two questions, The first is whether IMH truly represent a different pathology or simphy the precursor of the conventtional aortic dissection. The second is what the optimal mode of management of IMH is. In this study, To answer these questions, We retrospectively performed this study. Fifteen patients of IMH were included. We could follow 12 patients. Among them extention of IMH to type III aortic dissection has been observed in 2 cases(1 type A and 1 type B). One patients of type A underwent aortic graft stent deployment successfully. In the other patient of type B, who had a history of myocardial infarction and longstanding heart failure by that time, dissection developed at abdominal aorta with renal arterial involvement. The patient died of multiorgan failure despite intensive conservative managements. The remaining ten patients are alive with only medical care and with good clinical outcome. In conclusion we feel that conservative treatment of patients with IMH result in favorable outcome relatively even in the cases involving the ascending aorta. But more longterm follow-up of larger number of patients will provide better guidelines regarding the proper management of IMH.
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Shim, Won Heum(심원흠)
Lee, Moon-Hyoung(이문형) ORCID logo https://orcid.org/0000-0002-7268-0741
Rim, Se Joong(임세중) ORCID logo https://orcid.org/0000-0002-7631-5581
Ha, Jong Won(하종원) ORCID logo https://orcid.org/0000-0002-8260-2958
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/186450
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