A Case of Type A Aortic
نویسندگان
چکیده
Aortic intramural hematoma IMH is a variant of aortic dissection. As with type A dissection, early surgery has been recommended for type A IMH because of the high probability of progression. However, the pathology of IMH is distinct from that of aortic dissection, and there have been recent reports of good in-hospital and long-term survival with medical treatment. A 67-year-old female with a 20year history of poorly controlled hypertension was admitted with severe retrosternal pain. Computed tomography showed a type A aortic IMH from the ascending aorta to the descending aorta. The patient refused emergency surgery, and so she was treated medically to lower her systolic blood pressure. She remained symptom-free after seven months of follow-up. Medical treatment may be acceptable for type A IMH in patients with a low risk of progression. ( J Intern Med Taiwan 2006; 17: 16-21 )
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