Pseudoaneurysm as a Late Complication of Chronic Stanford Type A Intramural Hematoma Requiring Endovascular Repair

Wayne H Miller; David Hsi; Anna Koulova; Andrey Vavrenyuk; Isaac George; Virendra Patel; Hiroo Takayama

doi:10.1016/j.jaccas.2020.10.017

Pseudoaneurysm as a Late Complication of Chronic Stanford Type A Intramural Hematoma Requiring Endovascular Repair

JACC Case Rep. 2020 Dec 16;2(15):2470-2475. doi: 10.1016/j.jaccas.2020.10.017. eCollection 2020 Dec.

Authors

Wayne H Miller¹, David Hsi¹, Anna Koulova¹, Andrey Vavrenyuk¹, Isaac George², Virendra Patel², Hiroo Takayama²

Affiliations

¹ The Heart and Vascular Institute, Stamford Hospital, Stamford, Connecticut, USA.
² Columbia Aortic Center, New York-Presbyterian/Columbia University Medical Center, New York, New York, USA.

Abstract

Aortic intramural hematoma accounts for 5% to 20% of patients with acute aortic syndrome. Endovascular grafts have evolved as minimally invasive alternatives for treatment in some highly selected patients. We present the case of a patient who had late complications of a chronic Stanford type A intramural hematoma requiring thoracic endovascular aortic repair. (Level of Difficulty: Beginner.).

Keywords: CT, computed tomography; IMH, intramural hematoma; TEVAR, thoracic endovascular aortic repair; aorta; complication; dissection; vascular disease.

Publication types

Case Reports