Aortic intramural haematoma: current therapeutic strategy

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Aortic intramural haematoma: current therapeutic strategy.

O ver the last 10 years, intramural haematoma (IMH) of the aorta has become increasingly recognised as a pathological entity distinct from aortic dissection. Despite this enhanced appreciation and the resultant increase in the frequency of its diagnostic identification, a consensus regarding optimal management strategies for this disease has not been established. This is due in part to our inco...

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Diagnosis of aortic intramural haematoma.

A ortic intramural haematoma (IMH), a variant form of classic aortic dissection, has been accepted as an increasingly recognised and potentially fatal entity of acute aortic syndrome (AAS). In classic aortic dissection, flow communication occurs through a demonstrable primary intimal tear and blood flow propagation creates a so called ‘‘double channel aorta’’ with a true and false lumen. In IMH...

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Aortic intramural haematoma: remarks and conclusions.

A ortic intramural haematoma (IMH) originates from spontaneous rupture of the aorta vasavasorum or from a penetrating atherosclerotic ulcer. Recent advances in imaging techniques have significantly aided its diagnosis, placing the incidence between 10–30% of acute aortic syndromes. Clinical presentation may be identical to that of classical dissection. IMH affects patients with more atheroscler...

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MINI-SYMPOSIUM Diagnosis of aortic intramural haematoma

A ortic intramural haematoma (IMH), a variant form of classic aortic dissection, has been accepted as an increasingly recognised and potentially fatal entity of acute aortic syndrome (AAS). In classic aortic dissection, flow communication occurs through a demonstrable primary intimal tear and blood flow propagation creates a so called ‘‘double channel aorta’’ with a true and false lumen. In IMH...

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Aortic intramural haematoma: natural history and predictive factors for complications.

I ntramural haematoma (IMH) of the aorta is attracting growing interest as a variant of aortic dissection and is more frequently diagnosed by modern tomographic imaging modalities in the evaluation of acute aortic syndromes. 2 The evolution from IMH to overt dissection or even rupture may occur suddenly or is heralded by ongoing acute aortic (pain) syndrome. Unlike classic aortic dissection, IM...

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ژورنال

عنوان ژورنال: Heart

سال: 2004

ISSN: 0007-0769

DOI: 10.1136/hrt.2003.027631