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CT Analysis of the Growth Rate of Aortic Diameter Affected by Acute Type B Intramural Hematoma

Eijun Sueyoshi1,2, Ichiro Sakamoto1, Masataka Uetani1 and Yojiro Matsuoka3

1 Department of Radiology, Nagasaki University School of Medicine, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan.
2 Department of Radiology, Omura Municipal Hospital, Omura 856-0817, Japan.
3 Department of Radiology, National Nagasaki Medical Center, Omura 856-8562, Japan.


Figure 1
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  		Fig. 1A —CT images show measurements of aortic diameter in 58-year-old woman with type B intramural hematoma. Largest short-axial diameter (thick arrow) of aorta except for aortic arch was measured. Thin arrow indicates long-axial diameter.

 

Figure 2
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  		Fig. 1B —CT images show measurements of aortic diameter in 58-year-old woman with type B intramural hematoma. For aortic arch, diameter perpendicular to curvature (arrow) was measured.

 

Figure 3
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  		Fig. 2A —64-year-old woman with intramural hematoma of aorta. At onset, CT images show intramural hematoma from aortic arch to descending aorta.

 

Figure 4
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  		Fig. 2B —64-year-old woman with intramural hematoma of aorta. At onset, CT images show intramural hematoma from aortic arch to descending aorta.

 

Figure 5
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  		Fig. 2C —64-year-old woman with intramural hematoma of aorta. Five years later, CT image shows that affected aortic arch has increased in size.

 

Figure 6
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  		Fig. 3A —53-year-old man with intramural hematoma of aorta. At onset, CT image shows intramural hematoma of descending thoracic aorta.

 

Figure 7
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  		Fig. 3B —53-year-old man with intramural hematoma of aorta. One year later, CT image shows that intramural hematoma disappears. Affected aorta has decreased in size.

 

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