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13 January 2025 : Case report  China

Hybrid Repair of Ascending Aortic Intramural Hematoma and Arch Ulcer in a 74-Year-Old Woman – A Case Report

Unusual or unexpected effect of treatment, Educational Purpose (only if useful for a systematic review or synthesis)

Zhiqin Lin BCDEF 1,2, Yi Chen BDE 1,2, Xiaofu Dai BC 1,2, Liangwan Chen DF 1,2, Heng Lu ACF 1,2*

DOI: 10.12659/AJCR.946212

Am J Case Rep 2025; 26:e946212

Figure 1. Computed tomographic scan of type A intramural hematoma. (A) The intramural hematoma affects the aortic arch. (B) The intramural hematoma in this patient extends to the ascending aorta, with the widest dimension of the hematoma being approximately 15.7 mm on the sagittal plane. (C) The maximum width of the intramural hematoma in this patient on the horizontal plane is approximately 15.5 mm. (D) The maximum internal diameter of the ascending aorta in this patient on the transverse plane is approximately 48.9 mm, and the aortic ulcer is located on the left posterior side. (E) The postoperative CTA indicates that the stent is positioned well and the ulcer site is fully covered. CTA – computed tomography angiography.

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923