Aortic intramural haematoma and chronic anticoagulation: role of transoesophageal echocardiography

ABSTRACT The case of a 66-year-old patient with acute intramural haematoma in descending aorta, receiving anticoagulant treatment with warfarin for chronic atrial fibrillation, is presented. Transoesophageal echocardiography was fundamental in the diagnosis of the intramural haematoma, assessment of...

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Bibliographic Details
Published in:European journal of echocardiography 2008-01, Vol.9 (1), p.56-57
Main Authors: Ruggiero, Alberto, González-Alujas, Teresa, Rodríguez, José, Bossone, Eduardo, Evangelista, Arturo
Format: Article
Language:English
Subjects:
Aged
Anticoagulants - therapeutic use
Aorta, Thoracic
Aortic Diseases - diagnostic imaging
Aortic Diseases - drug therapy
Atrial Fibrillation - diagnostic imaging
Atrial Fibrillation - drug therapy
Diagnosis, Differential
Echocardiography, Transesophageal
Female
Hematoma - diagnostic imaging
Hematoma - drug therapy
Humans
Warfarin - therapeutic use
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Summary:ABSTRACT The case of a 66-year-old patient with acute intramural haematoma in descending aorta, receiving anticoagulant treatment with warfarin for chronic atrial fibrillation, is presented. Transoesophageal echocardiography was fundamental in the diagnosis of the intramural haematoma, assessment of the cardioembolic risk of atrial fibrillation and in follow-up the evolution of the intramural haematoma, which facilitated therapeutic management. Although no established recommendation exists on anticoagulation in aortic intramural haematoma, individual risk-benefit assessment of anticoagulation and follow-up with imaging techniques are essential to elect the most appropriate therapeutic management.
ISSN:1525-2167
1532-2114
DOI:10.1016/j.euje.2006.08.013