Disección espontánea de arterias viscerales: reporte de una serie de casos / Spontaneous dissection of visceral arteries: a series of cases
Rev. méd. Chile
;
147(9): 1122-1127, set. 2019. tab, graf
Article
in Spanish
| LILACS
| ID: biblio-1058654
ABSTRACT
Background:
Spontaneous dissections of visceral arteries are rare and usually secondary to other disease. There is paucity of information about their natural course.Aim:
To describe the imaging, clinical characteristics and follow-up of spontaneous visceral artery dissections diagnosed at our institution. Material andMethods:
We report a series of 14 patients in whom a spontaneous dissection of a visceral artery was diagnosed on abdominal angio-CT between 2010 and 2018. Clinical features and evolution were recorded.Results:
Isolated lesions of the celiac axis were the most common finding. Multiple territories were involved in 14% of cases. A dissection flap was observed in four cases, a hematoma-dissection complex in seven and an aneurysmal dilatation associated with the dissection in three. Of the 10 patients who were followed at our institution, 90% had stabilization or partial regression of the imaging findings. In the remaining case, new dissection events were observed. All cases were managed conservatively, and no death was reported.Conclusions:
In this series of patients, spontaneous dissection of visceral arteries had a benign, favorable course, requiring only conservative management.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Aortic Dissection
Limits:
Humans
Language:
Spanish
Journal:
Rev. méd. Chile
Journal subject:
Medicine
Year:
2019
Type:
Article
Affiliation country:
Chile
Institution/Affiliation country:
Hospital Padre Hurtado/CL
/
Universidad del Desarrollo/CL
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