Commentary: Staging of Aortic Intramural Hematoma: An Enemy Behind a Smooth Surface?

2010 ◽  
Vol 17 (5) ◽  
pp. 622-623 ◽  
Author(s):  
Christoph A. Nienaber
Keyword(s):  
Smooth Surface ◽  
Intramural Hematoma ◽  
Aortic Intramural Hematoma

Acute Aortic Intramural Hematoma Presenting with Painless Recurrent Syncope

2012 ◽  
Vol 15 (5) ◽  
pp. 286
Author(s):  
Jan Droste ◽  
Heidar Zafarani Zadeh ◽  
Mohammed Arif ◽  
Ian Craig ◽  
A K Thakur
Keyword(s):  
Aortic Wall ◽  
Surgical Intervention ◽  
Intramural Hematoma ◽  
Pericardial Tamponade ◽  
Transthoracic Echocardiogram ◽  
Type A Aortic Dissection ◽  
Severe Hypotension ◽  
Patient’S History ◽  
Aortic Intramural Hematoma ◽  
Venous Pulse

<p>A patient presented with recurrent syncope due to transient severe hypotension. The patient's history, physical examination, and initial baseline investigation did not suggest a cardiovascular cause. After fluid resuscitation, a raised jugular venous pulse was noted. Bedside transthoracic echocardiogram showed a pericardial effusion and a proximally dilated aorta. Computed tomography of the thorax confirmed these findings and also demonstrated an intramural hematoma of the proximal aortic wall.</p><p>The patient was transferred to a cardiothoracic center, where he was at first treated medically. He then developed sudden cardiogenic shock due to pericardial tamponade and was successfully operated on.</p><p>It is important to recognize an acute intramural hematoma of the proximal aortic wall as a cardiothoracic emergency. This condition can present atypically, but nevertheless warrants urgent surgical intervention, equal to type A aortic dissection. Echocardiography can help in making the diagnosis.</p>

Abdominal Aortic Intramural Hematoma Related to Penetrating Ulcer:An Inappropriate Indication for Endovascular Repair?

2003 ◽  
Vol 10 (2) ◽  
pp. 392-396 ◽  
Author(s):  
Marco Ventura ◽  
Alessandro Mastromarino ◽  
Lucia Cucciolillo ◽  
Giuseppe Calvisi ◽  
Carlo Spartera
Keyword(s):  
Endovascular Repair ◽  
Intramural Hematoma ◽  
Abdominal Aortic ◽  
Aortic Intramural Hematoma

scholarly journals Analysis of predictive factors for progression of type B aortic intramural hematoma with computed tomography

2002 ◽  
Vol 35 (6) ◽  
pp. 1179-1183 ◽  
Author(s):  
Eijun Sueyoshi ◽  
Tatsuya Imada ◽  
Ichiro Sakamoto ◽  
Yohjiro Matsuoka ◽  
Kuniaki Hayashi
Keyword(s):  
Computed Tomography ◽  
Predictive Factors ◽  
Intramural Hematoma ◽  
Type B ◽  
Aortic Intramural Hematoma

Aortic intramural hematoma: aspects of pathogenesis 2011

Herz ◽  
2011 ◽  
Vol 36 (6) ◽  
pp. 488-497 ◽  
Author(s):  
J.-K. Song
Keyword(s):  
Intramural Hematoma ◽  
Aortic Intramural Hematoma

ORIGINAL INVESTIGATIONS: Different Clinical Features of Aortic Intramural Hematoma Versus Dissection Involving the Descending Thoracic Aorta

2005 ◽  
Vol 22 (8) ◽  
pp. 629-635 ◽  
Author(s):  
Mariano Falconi ◽  
Pablo Oberti ◽  
Juan Krauss ◽  
Alberto Domenech ◽  
Vicente Cesáreo ◽  
...  
Keyword(s):  
Thoracic Aorta ◽  
Clinical Features ◽  
Intramural Hematoma ◽  
Descending Thoracic Aorta ◽  
Aortic Intramural Hematoma

Abstract 15182: Acute Complications of Type B Aortic Intramural Hematoma Compared With Classic Aortic Dissection

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Yutaro Miyoshi ◽  
Shuichirou Kaji ◽  
Akiko Masumoto ◽  
Toshiaki Toyota ◽  
Taiji Okada ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Hospital Mortality ◽  
Clinical Course ◽  
Aortic Rupture ◽  
Intramural Hematoma ◽  
Spinal Ischemia ◽  
Type B ◽  
Impending Rupture ◽  
Acute Complications ◽  
Aortic Intramural Hematoma

Introduction: Although acute type B aortic intramural hematoma (B-IMH) is a variant of acute aortic syndrome having similar clinical demographics to type B classic aortic dissection (B-AD), early clinical course including acute complications are not well investigated. The purpose of this study was to investigate early clinical course and acute complications of B-IMH in comparison with that of B-AD. Methods: Clinical features and early clinical course including acute complications were retrospectively analyzed in 270 B-IMH and 177 B-AD consecutive patients who were admitted to our hospital between 1991 and 2020. Acute complications were defined as rupture, impending rupture, re-dissection, and visceral and leg ischemia. Results: As compared with B-AD, B-IMH presented at older age (72±11 vs 62±15 years; p&lt;0.001), predominantly in females (37% vs 25%). During in-hospital courses, limb ischemia and mesenteric ischemia were less common in patients with B-IMH than those with B-AD (0.4% versus 5.1%, p=0.003, 0.4% versus 2.8%, p=0.03; respectively). In contrast, spinal ischemia was more common in B-IMH patients (2.4% versus 0.6%, p=0.05). Aortic rupture and impending rupture were comparable between B-IMH and B-AD patients (5.9% versus 7.3%. p=0.28). Besides, re-dissection was also comparable between two groups (2.2% versus 5.1%, p=0.06). As a result, prevalence of acute complications was significantly lower in patients with B-IMH (8.8% versus 17%, p=0.008). In-hospital mortality rate in B-IMH was significantly lower than that in B-AD (0.4% versus 9.0%, p&lt;0.001). Conclusions: Although patients with B-IMH had lower in-hospital mortality rates than patients with B-AD, significant portion of B-IMH patients had fatal complications including spinal ischemia or aortic rupture. Patients with B-IMH should be carefully observed as well as patients with B-AD patients.

scholarly journals Outcomes of Patients With Acute Type A Aortic Intramural Hematoma

Circulation ◽  
2009 ◽  
Vol 120 (21) ◽  
pp. 2046-2052 ◽  
Author(s):  
Jae-Kwan Song ◽  
Ji Hye Yim ◽  
Jung-Min Ahn ◽  
Dae-Hee Kim ◽  
Joon-Won Kang ◽  
...  
Keyword(s):  
Intramural Hematoma ◽  
Type A ◽  
Acute Type ◽  
Aortic Intramural Hematoma

scholarly journals Primary Mediastinal Undifferentiated Carcinoma Mimicking Type B Aortic Intramural Hematoma

2017 ◽  
Vol 104 (3) ◽  
pp. e283
Author(s):  
Qiang Zhu ◽  
Wen-cheng Che ◽  
Wei Wang ◽  
Tian-chang Zhen ◽  
Gong-zhang Su ◽  
...  
Keyword(s):  
Intramural Hematoma ◽  
Undifferentiated Carcinoma ◽  
Type B ◽  
Aortic Intramural Hematoma

scholarly journals Distal Aortic Intramural Hematoma: Clinical Importance of Focal Contrast Enhancement on CT Images

Radiology ◽  
2011 ◽  
Vol 259 (1) ◽  
pp. 100-108 ◽  
Author(s):  
Gyung-Min Park ◽  
Jung-Min Ahn ◽  
Dae-Hee Kim ◽  
Joon-Won Kang ◽  
Jong-Min Song ◽  
...  
Keyword(s):  
Contrast Enhancement ◽  
Clinical Importance ◽  
Intramural Hematoma ◽  
Ct Images ◽  
Aortic Intramural Hematoma
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