Aortic intramural hematoma: Review of high-risk imaging features

Abstract Aortic intramural hematoma is among the spectrum of pathologies that comprises acute aortic syndrome and carries a risk of progression to aortic dissection, aneurysm, rupture, and other complications. Evaluation by CT can identify imaging features associated with higher risk of complication...

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Bibliographic Details
Published in:Journal of cardiovascular computed tomography 2013-07, Vol.7 (4), p.267-272
Main Authors: Kruse, Matthew J., MD, Johnson, Pamela T., MD, Fishman, Elliot K., MD, Zimmerman, Stefan L., MD
Format: Article
Language:English
Subjects:
Adult
Aged, 80 and over
Aortic disease
Aortic Diseases - complications
Aortic Diseases - diagnostic imaging
Aortic intramural hematoma
Aortography - methods
Cardiovascular
Disease Progression
Female
Hematoma - complications
Hematoma - diagnostic imaging
Humans
Male
Middle Aged
Noninvasive cardiovascular imaging
Predictive Value of Tests
Prognosis
Risk Factors
Tomography, X-Ray Computed
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Description
Summary:Abstract Aortic intramural hematoma is among the spectrum of pathologies that comprises acute aortic syndrome and carries a risk of progression to aortic dissection, aneurysm, rupture, and other complications. Evaluation by CT can identify imaging features associated with higher risk of complications. Ulcer-like projections, enlarged aortic diameter, increased hematoma thickness, and Stanford type A classification are associated with progression to complications. The significance of intramural blood pools within the hematoma and associated pleural/pericardial effusions is less certain. Detailed evaluation of intramural hematoma with CT can provide critical prognostic information with implications for patient management.
ISSN:1934-5925
1876-861X
DOI:10.1016/j.jcct.2013.04.001