Complete regression of an intramural hematoma of the aorta after distal reperfusion

Abe DeAnda, Vigneshwar Kasirajan, Daniel Henry, Stuart I. Myers

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

A 58-year-old man with hypertension, severe abdominal pain, and pulseless extremities was diagnosed with an isolated abdominal intramural hematoma (IMH). The IMH extended from the distal descending thoracic aorta to just proximal to the renal arteries. β-Blockade treatment resolved the abdominal pain but induced progressive oliguria; decreasing β-blockade treatment increased urine output but caused return of abdominal pain. An axillobifemoral bypass allowed distal perfusion and retrograde visceral artery perfusion while maintaining normal blood pressure. The abdominal pain resolved, urine output increased, and the patient was discharged on day 7. Six months later the patient required an emergent thrombectomy of the axillobifemoral graft and normal antegrade aortic flow was found. A computed tomography scan showed resolution of the IMH.

Original languageEnglish (US)
Pages (from-to)149-152
Number of pages4
JournalJournal of vascular surgery
Volume42
Issue number1
DOIs
StatePublished - Jul 1 2005
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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