Welkom bij THIM Hogeschool voor Fysiotherapie & Bohn Stafleu van Loghum
THIM Hogeschool voor Fysiotherapie heeft ervoor gezorgd dat je Mijn BSL eenvoudig en snel kunt raadplegen. Je kunt je links eenvoudig registreren. Met deze gegevens kun je thuis, of waar ook ter wereld toegang krijgen tot Mijn BSL. Heb je een vraag, neem dan contact op met helpdesk@thim.nl.
Om ook buiten de locaties van THIM, thuis bijvoorbeeld, van Mijn BSL gebruik te kunnen maken, moet je jezelf eenmalig registreren. Dit kan alleen vanaf een computer op een van de locaties van THIM.
Eenmaal geregistreerd kun je thuis of waar ook ter wereld onbeperkt toegang krijgen tot Mijn BSL.
Login
Als u al geregistreerd bent, hoeft u alleen maar in te loggen om onbeperkt toegang te krijgen tot Mijn BSL.
The original online version of this article was revised: The license information was missing from this article in the online pdf and should have been ‘Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.’ The original article has been corrected.
Given the patient’s medical history, there was an immediate suspicion of type A aortic dissection. A new CT-scan was performed and a type A intramural hematoma (IMH) was diagnosed (Fig. 1). Type A IMH is recognized and differentiated from a type A aortic dissection by a crescentic or circular aortic wall thickening in the absence of an intimal flap [1]. IMH is the cause of acute aortic syndrome in 5–25% of the cases with ~30% involving the ascending aorta and in 12% of patients an IMH can evolve into an aortic dissection [1]. The current treatment for type A IMH is comparable to that of type A aortic dissection, which is surgery [1]. Emergency surgery was performed successfully, involving biological aortic valve replacement and hemi aortic arch replacement. The patient’s post-operative recovery was uneventful, and she was discharged after ten days. During the first outpatient follow-up two months later, the patient reported being symptom-free and recovering well.
Fig. 1
a, b CT-scan of the aorta after symptom onset showing an intramural hematoma located at the aortic root and ascending aorta
×
Conflict of interest
F.E. Vervaat, T. van Brakel and S. Bouwmeester declare that they have no competing interests.
Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
Het Netherlands Heart Journal wordt uitgegeven in samenwerking met de Nederlandse Vereniging voor Cardiologie. Het tijdschrift is Engelstalig en wordt gratis beschikbaa ...
