Is Focal Contrast Enhancement at CT Still a Predictor of Poor Clinical Outcome in Patients With Aortic Intramural Hematoma?

2010 ◽  
Vol 194 (5) ◽  
pp. W461-W461
Author(s):  
Antonio Bozzani ◽  
Piernicola Palmieri ◽  
Attilio Odero
Radiology ◽  
2011 ◽  
Vol 259 (1) ◽  
pp. 100-108 ◽  
Author(s):  
Gyung-Min Park ◽  
Jung-Min Ahn ◽  
Dae-Hee Kim ◽  
Joon-Won Kang ◽  
Jong-Min Song ◽  
...  

2012 ◽  
Vol 15 (5) ◽  
pp. 286
Author(s):  
Jan Droste ◽  
Heidar Zafarani Zadeh ◽  
Mohammed Arif ◽  
Ian Craig ◽  
A K Thakur

<p>A patient presented with recurrent syncope due to transient severe hypotension. The patient's history, physical examination, and initial baseline investigation did not suggest a cardiovascular cause. After fluid resuscitation, a raised jugular venous pulse was noted. Bedside transthoracic echocardiogram showed a pericardial effusion and a proximally dilated aorta. Computed tomography of the thorax confirmed these findings and also demonstrated an intramural hematoma of the proximal aortic wall.</p><p>The patient was transferred to a cardiothoracic center, where he was at first treated medically. He then developed sudden cardiogenic shock due to pericardial tamponade and was successfully operated on.</p><p>It is important to recognize an acute intramural hematoma of the proximal aortic wall as a cardiothoracic emergency. This condition can present atypically, but nevertheless warrants urgent surgical intervention, equal to type A aortic dissection. Echocardiography can help in making the diagnosis.</p>


2003 ◽  
Vol 10 (2) ◽  
pp. 392-396 ◽  
Author(s):  
Marco Ventura ◽  
Alessandro Mastromarino ◽  
Lucia Cucciolillo ◽  
Giuseppe Calvisi ◽  
Carlo Spartera

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