Typically, aortic intramural hematomas are seen in elderly hypertensive patients. The same condition may also develop as a result of blunt chest trauma with aortic wall injury or a penetrating atherosclerotic ulcer 1,2. Zobacz więcej The clinical features of intramural hematoma are those of the acute aortic syndromes, namely chest pain radiating to the back and hypertension 14. Zobacz więcej Acute intramural hematomas appear as focal, crescentic, high-attenuating (60-70 HU) regions of eccentrically thickened aortic wall on non-contrast CT (high-attenuation crescent sign). The narrow window width is … Zobacz więcej This condition is thought to begin with spontaneous rupture of the vasa vasorum, the blood vessels that penetrate the outer half of the aortic media from the adventitia and arborize within the media to supply the aortic wall 2. … Zobacz więcej If an intramural hematoma involves the ascending aorta (Stanford A), surgical treatment is offered to prevent rupture and progression to classic aortic dissection, which occurs in … Zobacz więcej Witryna4 mar 2003 · Regardless of aortic diameter, IMH of the ascending aorta (type A) is at high risk for early progression, and, thus, undelayed surgical repair should be …
Long-Term Prognosis of Patients With Type B Aortic ... - Circulation
Witryna1 gru 2009 · Intramural hematoma (IMH) of the aorta and penetrating aortic ulcer (PAU) are important variant forms of classic double-barrel aortic dissection in patients … Witryna9 wrz 2003 · With the use of noninvasive imaging techniques, aortic intramural hematoma (IMH) has been recognized as a form of aortic dissection (AD), characterized primarily by aortic wall hematoma without demonstrable intimal flap, intimal tear and direct flow communication. 1–7 IMH may cause a potentially catastrophic clinical … tsantali mavrodaphne of patras
Aortic intramural haematoma: current therapeutic strategy Heart
WitrynaAortic intramural hematoma (IMH) is a rarely diagnosed pathological condition that is not well characterized to date. We diagnosed IMH in 4 of 31 patients with suspected … Witrynathe ascending aorta) IMH.5,6 On the other hand, Coady et al7 recently reported that the prognoses of acutely symp-tomatic hospitalized patients with penetrating atheroscle-rotic ulcers (PAUs) was worse than those with classic aortic dissection due to a higher incidence of aortic rupture. We reviewed 65 symptomatic patients with aortic IMH. WitrynaThe reported incidence of IMH among all type A acute aortic syndromes ranges from 3.5% to 28.3%. As compared with acute aortic dissection, IMH is a disease of the … philly boys tree service