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Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
Acute Type B Aortic Pathology Mimicking Acute Type A Intramural Hematoma with Organ Malperfusion
Eli Levy1, Amit Korach1, Chen Rubinstein2
1Department of Cardiothoracic Surgery, "Hadassah" Hebrew University Medical Center, Jerusalem, Israel.
Abstract:
The management of acute Stanford Type A intramural hematoma (IMH) of the aorta remains controversial. Most surgeons advocate emergency surgery in a manner similar to frank acute Type A dissection. Others recommend a conservative approach to this distinct clinicopathological entity. We describe a case of acute aortic pathology initially diagnosed as Type A IMH with organ malperfusion, subsequently identified as acute Type B pathology with retrograde and antegrade extension. An endovascular approach was successfully used to exclude the site of origin.
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