OBJECTIVE: For intramural @entity1410 and penetrating @entity731 , long-term behavior and treatment are controversial. This study evaluates the long-term behavior of intramural @entity1410 and penetrating @entity731 , including radiologic follow-up and survival analysis. METHODS: Between 1995 and 2014, 108 @entity1 (mean age, 70.8      10  years; 56% female) presented with intramural @entity1410 or penetrating @entity731 to Yale-New Haven Hospital (New Haven, Conn). We reviewed the medical records, radiology, and online mortality databases. RESULTS: Ten of 55 @entity1 (18%) with intramural @entity1410 and 17 of 53 @entity1 (32%) with penetrating @entity731 had @entity397 state symptoms on admission, both greater than type A (8%) or type B dissection (4%) (P  <  .001). No branch @entity432 occurred. For @entity1 with intramural @entity1410 with follow-up imaging, 8 of 14 (57%) worsened (mean follow-up, 9.4  months) and 6 (43%) underwent late surgery. For @entity1 with penetrating @entity731 with follow-up imaging, 6 of 20 (30%) worsened and underwent late surgery, and 11 (55%) showed no change (mean follow-up, 34.3  months). Overall survivals were 77%, 70%, 58%, and 33% at 1, 3, 5, and 10  years, respectively. No operative @entity204 occurred for @entity1 with nonrupture state. @entity1 with penetrating @entity731 with initial surgical treatment had better long-term survival than @entity1 treated medically (P  =  .037). In the intramural @entity1410 group, no such difference was observed (P  =  .10). CONCLUSIONS: At presentation, the incidence of early @entity397 of intramural @entity1410 and penetrating @entity731 was higher than for typical dissection. For branch vessels, intramural @entity1410 never occludes branch arteries. On imaging follow-up, @entity1 with intramural @entity1410 and penetrating @entity731 rarely improved, with late surgery commonly needed. Better survival was observed for the initial surgical management of @entity1 with penetrating @entity731 compared with initial medical management.

Long-term behavior of aortic intramural XXXX and penetrating ulcers.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity1410 :: ('MESH:D006406', 'Disease') :: ['hematoma'] @entity397 :: ('MESH:D012421', 'Disease') :: ['rupture'] @entity432 :: ('MESH:D001157', 'Disease') :: ['vascular occlusion'] @entity731 :: ('MESH:D050197', 'Disease') :: ['atherosclerotic ulcer'] @entity204 :: ('MESH:D003643', 'Disease') :: ['deaths']
@entity1410 :: (MESH:D006406,Disease) :: ['hematomas']
