Key result
Intraoperative imaging guides successful conservative management of iatrogenic aortic intramural hematoma complicating CABG.
Why the study?
Recent imaging advances have identified specific features affecting the natural course of aortic intramural hematoma, which may inform intraoperative decision making.
Case Report (n=1)
Imaging can guide intraoperative decision-making toward conservative management in cases of iatrogenic aortic intramural hematoma during CABG.
May support imaging-guided conservatism in select iatrogenic aortic intramural hematoma cases; leaves open need for prospective validation.
Aortic intramural hematoma (IMH) is a collection of blood within the aortic wall without an identifiable intimal tear. It belongs to the spectrum of acute aortic syndrome (AAS) which also includes aortic dissection (AD), a well-defined entity. Principles of management guided by Stanford classification is similar in both entities. But with recent advances in imaging, certain features of IMH have been identified that affect the natural course of IMH. We report a unique case of iatrogenic IMH complicating a routine coronary artery bypass graft surgery (CABG) and how imaging guided intraoperative decision making toward conservative management.
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Ram et al. (2020) conducted a case report in Iatrogenic Aortic Intramural Hematoma (n=1). Imaging guided intraoperative decision making toward conservative management was evaluated. Imaging guided intraoperative decision making successfully directed conservative management of a unique case of iatrogenic aortic intramural hematoma complicating routine CABG.
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