[Spontaneous dissection of visceral arteries. A series of cases]. / Disección espontánea de arterias viscerales: reporte de una serie de casos.
Rev Med Chil
; 147(9): 1122-1127, 2019 Sep.
Article
en Es
| MEDLINE
| ID: mdl-33625445
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.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Disección Aórtica
Límite:
Humans
Idioma:
Es
Revista:
Rev Med Chil
Año:
2019
Tipo del documento:
Article
País de afiliación:
Chile