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내과적 치료를 받은 대동맥 박리와 대동맥 벽내 혈종 환자들의 자연경과에 관한 다기관 경시적 추적관찰 연구

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Author(s)
송재관김현숙송종민강덕현하종원임세중정남식김기식박승우이두하김용진손대원
Keimyung Author(s)
Kim, Kee Sik
Department
Dept. of Internal Medicine (내과학)
Journal Title
순환기
Issued Date
2001
Volume
31
Issue
6
Keyword
Aortic dissectionAortic intramural hematomaNatural history
Abstract
Although the same treatment strategy
has been applied for patients with aortic intramural hematoma (AIH) as typical aortic dissection (AD), the natural history of AIH with medical treatment is not known clearly. The purposes of this study were to test the hypothesis that absence of direct flow communication through intimal tear in AIH has different impact on clinical course compared with typical AD and to clarify the natural history of AIH. Methods:Total 181 patients of acute aortic pathology (AD/AIH=57/124) were enrolled from 5 institutions. Patients received medical treatment without surgical intervention regardless of the affected site in acute stage, and follow-up imaging studies (FUIS) were performed in 105 patients with AIH. Clinical data of these patients were retrospectively analyzed. Results:Fifty-four patients showed involvement of the ascending aorta (AD/AIH=13/41) and 127 revealed distal pathology (AD/AIH=44/83). Compared to the patients with AD, those with AIH were older regardless of the type and showed higher incidence of pleural effusion and mediastinal hemorrhage. In-hospital mortality of proximal AIH was 7%, which was significantly lower than that of proximal AD (62%);mortality of distal AIH was also lower than that of distal AD (1.2 Vs 9%, p
Alternative Title
Multicenter Longitudinal Follow-up Clinical Study Comparing the Natural Course of Medically-Treated Patients with Aortic Dissection and Aortic Intramural Hematoma
Keimyung Author(s)(Kor)
김기식
Publisher
School of Medicine
Citation
송재관 et al. (2001). 내과적 치료를 받은 대동맥 박리와 대동맥 벽내 혈종 환자들의 자연경과에 관한 다기관 경시적 추적관찰 연구. 순환기, 31(6), 592–601.
Type
Article
ISSN
1225-164X
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/36748
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
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