Disección espontánea de arterias viscerales: reporte de una serie de casos

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 ins...

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Autores principales:	Schiappacasse,Giancarlo, Cacho,Javier, Tapia,María Fernanda, Ibáñez,Fernando
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2019
Materias:	Aneurysm Dissecting Computed Tomography Angiography Mesenteric Artery, Superior
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872019000901122
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spelling	oai:scielo:S0034-988720190009011222020-01-07Disección espontánea de arterias viscerales: reporte de una serie de casosSchiappacasse,GiancarloCacho,JavierTapia,María FernandaIbáñez,Fernando Aneurysm Dissecting Computed Tomography Angiography Mesenteric Artery, Superior 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 and Methods: 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.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.147 n.9 20192019-09-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872019000901122es10.4067/s0034-98872019000901122
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Aneurysm Dissecting Computed Tomography Angiography Mesenteric Artery, Superior
spellingShingle	Aneurysm Dissecting Computed Tomography Angiography Mesenteric Artery, Superior Schiappacasse,Giancarlo Cacho,Javier Tapia,María Fernanda Ibáñez,Fernando Disección espontánea de arterias viscerales: reporte de una serie de casos
description	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 and Methods: 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.
author	Schiappacasse,Giancarlo Cacho,Javier Tapia,María Fernanda Ibáñez,Fernando
author_facet	Schiappacasse,Giancarlo Cacho,Javier Tapia,María Fernanda Ibáñez,Fernando
author_sort	Schiappacasse,Giancarlo
title	Disección espontánea de arterias viscerales: reporte de una serie de casos
title_short	Disección espontánea de arterias viscerales: reporte de una serie de casos
title_full	Disección espontánea de arterias viscerales: reporte de una serie de casos
title_fullStr	Disección espontánea de arterias viscerales: reporte de una serie de casos
title_full_unstemmed	Disección espontánea de arterias viscerales: reporte de una serie de casos
title_sort	disección espontánea de arterias viscerales: reporte de una serie de casos
publisher	Sociedad Médica de Santiago
publishDate	2019
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872019000901122
work_keys_str_mv	AT schiappacassegiancarlo diseccionespontaneadearteriasvisceralesreportedeunaseriedecasos AT cachojavier diseccionespontaneadearteriasvisceralesreportedeunaseriedecasos AT tapiamariafernanda diseccionespontaneadearteriasvisceralesreportedeunaseriedecasos AT ibanezfernando diseccionespontaneadearteriasvisceralesreportedeunaseriedecasos
_version_	1718437082024640512

Disección espontánea de arterias viscerales: reporte de una serie de casos

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