INCREASED INCIDENCE OF RENAL SIMPLE CYSTS IN PATIENTS WITH AORTIC DISSECTION AND INTRAMURAL HEMATOMA

Iatrogenic aortic dissection ... or intramural hematoma?

A 65-year-old black woman with hypertension and type 2 diabetes mellitus presented to her local hospital with acute chest discomfort. She had no history of connective tissue disease or family history of aortic catastrophes. An ECG showed inferior ST-segment elevation. Coronary angiography revealed multiple high-grade lesions in the right coronary artery (RCA) with evidence of thrombus (Movie I ...

Unusual Case of Overt Aortic Dissection Mimicking Aortic Intramural Hematoma

We report an interesting case in which overt aortic dissection mimicked two episodes of aortic intramural hematoma (IMH) (Stanford A, DeBakey I). This took place over the course of four days and had a major influence on the surgical treatment strategy. The first episode of IMH regressed completely within 15 hours after it was clinically diagnosed and verified using imaging techniques. The recur...

Pathogenesis in acute aortic syndromes: aortic dissection, intramural hematoma, and penetrating atherosclerotic aortic ulcer.

309 cute aortic syndromes refer to the spectrum of aortic emergencies that include aortic dissection, intramural hematoma, penetrating atherosclerotic ulcer of the aorta, aortic aneurysm leak and rupture, and traumatic aortic transection. The aortic wall is composed of three layers (Fig. 1): the inner layer of intima, the middle layer of media, and the outer layer of adventitia. Multiple mechan...

Images in vascular medicine: aortic intramural hematoma with dissection in aortic medial degeneration.

[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...