WebAug 31, 2016 · Acute aortic dissection treatment and prognosis. The reported short-term (30-day or in-hospital) mortality for type A acute aortic dissection is 13-17% (median … WebJun 10, 2024 · The proper therapeutic management for acute type A aortic intramural hematoma (IMH) is still controversial. The purpose of this study was to compare the outcomes following emergency surgery or conservative treatment for patients with this disease. From January 2015 to December 2024, 124 consecutive patients were …
Rare Causes of Arterial Hypertension and Thoracic Aortic …
WebJan 1, 2024 · Key Findings: For patients with acute intramural hematoma involving the ascending aorta and extending into the descending thoracic aorta, patients who … WebAug 30, 2024 · Aortic intramural hematoma (IMH), first described by Krukenberg ( 1 ), constitutes acute aortic syndrome (AAS) with penetrating atherosclerotic ulcer (PAU) and aortic dissection (AD) ( 1, 2 ). When hematoma involves ascending aorta, it is classified as Type A aortic intramural hematoma (TAIMH) ( 3 ). chillies alexandria
Intramural hematoma - New Brunswick Centre for Aortic …
WebThe descending thoracic aorta was involved in 10 cases and the ascending/arch in 3. Conservative medical management was attempted initially. All 3 patients with IMH … Classification. Similar to aortic dissections, aortic intramural hematomas are classified according to the Stanford classification 4: type A: involves the ascending aorta, with or without descending aortic involvement. type B : confined to the descending aorta, distal to the origin of the left subclavian artery. See more Typically, aortic intramural hematomas are seen in elderly hypertensive patients. The same condition may also develop as a result of blunt chest trauma with aortic wall injury or a … See more The clinical features of intramural hematoma are those of the acute aortic syndromes, namely chest pain radiating to the back and hypertension 14. See more Acute intramural hematomas appear as focal, crescentic, high-attenuating (60-70 HU) regions of eccentrically thickened aortic wall on non-contrast CT (high-attenuation crescent sign). The narrow window width is … See more This condition is thought to begin with spontaneous rupture of the vasa vasorum, the blood vessels that penetrate the outer half of the aortic … See more WebSep 15, 2009 · First described by Krukenberg 1 in 1920 as aortic dissection without intimal flap, the management of intramural hematoma (IMH) of … chillies barnsley