[HSF] intramural hematoma

[Crittenden, Michael]

Nice pictures!

What kind of catheter did you use to perfusion the arch?

Direct axillary cannulation or was it through a side graft?

Mike Crittenden

-----Original Message-----
From: openheart-l-bounces at lists.hsforum.com [mailto:openheart-l-bounces at lists.hsforum.com] On Behalf Of Giulio Rizzoli
Sent: Wednesday, October 04, 2006 4:51 AM
To: OpenHeart-L at lists.hsforum.com
Subject: [HSF] intramural hematoma

For those who doubt that an intramural hematoma is alike aortic dissection
I want to show the images of the last case (78 
y/o) I operated on with a modified Bentall.
27° , axillary artery and left carotid perfusion trough exposed arch.
There was no trace of dissection at angio but a 
very thickened aortic wall at CT scan.
I show the appearance at pericardiectomy, 
identical to that of a dissection and the clots 
sandwich between media and adventitia.
                                                                               Giulio 
Rizzoli, Padova Italy