Travmaya Bağlı İntramural Aort Hematomu

Abstract

Travmaya bağlı aort hasarı nadir görülür ve yaklaşık %30 mortalite ile seyreder. Sıklıkla torasik aortada psödoanevrizma ve intramural hematom gözlenir. İntramural hematom, intimal yırtılma olmaksızın aort disseksiyonu olarak tanımlanmıştır. İntramural aort hematomu oldukça nadir görülen, ölümcül potansiyele sahip bir durumdur. TEE, BT, MRG ve multidetector BT kullanılarak hızlı ve güvenilir şekilde tanıya varılabilir. Travmatik intramural aort hematomunun yönetimi literatürde yeterince tanımlanmamıştır. Görüntüleme yöntemlerinin gelişmesi sayesinde nonkomplike, stabil hastalarda intramural aort hematomu konservatif yöntemle tedavi edilebilir. Bu makalede konservatif yöntemle tedavi edilen travmatik intramural aort hematomu olan 36 yaşındaki yüksekten düşme hastası sunulmuştur.

Keywords

• Travma, aort, hematom

Traumatic Aortic Intramural Hematoma

Abstract

Blunt traumatic aortic injury is a life threatening condition with a mortality rate of 30%. Aortic injury commonly involves the thoracic aorta with pseudoaneurysm and intramural hematoma. Aortic intramural hematoma is a dissection without an intimal tear. Intramural aortic hematoma is an uncommon but potentially lethal aortic disease. TEE, CT, MRI and Multidetector CT can ensure a rapid and accurate diagnosis of intramural hematoma. Management of traumatic aortic intramural hematoma is not well defined in the literature. Significant intramural aortic hematoma in stable patients may remain stable on follow-up imaging. In this study we present a traumatic aortic intramural hematoma which resolved with conservative treatment in a 36 year old man who fell from a height

Keywords

• Trauma, aorta, hematoma

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