AW: [HSF] intramural hematoma

Wed Oct 4 19:45:52 EDT 2006

Guido,
for me it´s a dissection.
Did you perform a TEE? How about the rest of CT?
When  you opened the clamp and looked inside,was there Any tear?
Roberto

-----Ursprüngliche Nachricht-----
Von: openheart-l-bounces at lists.hsforum.com
[mailto:openheart-l-bounces at lists.hsforum.com] Im Auftrag von Giulio Rizzoli
Gesendet: Mittwoch, 4. Oktober 2006 09:51
An: OpenHeart-L at lists.hsforum.com
Betreff: [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