Current trends in aortic intramural hematoma management—a shift from conservative to a more aggressive treatment

Treatment patterns and their outcomes of acute aortic intramural hematoma in real world: multicenter registry for aortic intramural hematoma

BACKGROUND Intramural hematoma of the aorta (IMH), a variant of classic aortic dissection, shows very dynamic process in the early phase. The aim of this study is to evaluate clinical outcomes of patients with acute aortic IMH from real world registry data. METHODS We analyzed 165 consecutive patients with acute IMH from five medical centers in Korea. All patients were divided into two groups...

[Intramural aortic hematoma and anticoagulation].

Intramural aortic hematoma is one of a group of conditions covered by the term acute aortic syndrome. Many aspects of its natural history remain poorly understood, and the best treatment is not known. The aim of this study was to describe the clinical and radiological characteristics and follow-up of a group of patients with intramural aortic hematoma who received anticoagulant therapy during h...

Aortic intramural hematoma: from observation to therapeutic strategies.

Noninvasive diagnostic imaging procedures, such as magnetic resonance imaging (MRI), computed tomography (CT) and transesophageal echocardiography (TEE) (1–5), have allowed the detection of aortic abnormalities with an extremely high morphologic image resolution and quality. The availability of one of these imaging modalities allows the use at a lower threshold of clinical likelihood, which lea...

Penetrating Aortic Ulcer and Intramural Hematoma

A ortic intramural hematoma (IMH) is an acute aortic disease, defined by the presence of hemorrhage within the aortic wall, and no evidence of intimal tear. The penetrating aortic ulcer (PAU) is a chronic aortic condition, defined by an ulcer-like disruption of the intima maturing within the aortic lumen. IMH usually presents with a smooth intima and some degree of atherosclerosis, whereas PAU ...

Thickened ascending aortic wall mimicking intramural hematoma.