Management of diabetic patients with aortic intramural hematoma: There may be more involved besides MMP‐9

Outcomes of patients with acute type a aortic intramural hematoma.

BACKGROUND The proper treatment option for patients with type A intramural hematoma (IMH), a variant form of classic aortic dissection (AD), remains controversial. We assessed the outcome of our institutional policy of urgent surgery for unstable patients and initial medical treatment for stable patients with surgery in cases with complications. METHODS AND RESULTS Among 357 consecutive patie...

[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...

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.

Aortic intramural hematoma: an unpredictable evolution.

Aortic intramural hematoma (IMH) is an acute aortic syndrome characterized by bleeding into the media of the aortic wall without intimal disruption or the classic flap formation. Its natural history is variable and still poorly understood, so strategies for therapeutic management are not fully established. In some cases there is partial or complete regression of the hematoma under medical treat...