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Aorta (Stamford). 2018 Jun;6(3):92-93. doi: 10.1055/s-0039-1678569. Epub 2019 Feb 22.

Radiologic and Intraoperative Finding of Intimal Tear in Type A Intramural Hematoma of the Aorta.

Aorta (Stamford, Conn.)

Gianfranco Filippone, Giovanni Caruana, Violetta Moscaritolo, Sara Rita Vacirca, Vincenzo Argano

Affiliations

  1. Unit of Cardiac Surgery, University of Palermo, Palermo, Italy.
  2. Department of Radiology, University of Palermo, Palermo, Italy.
  3. Intensive Care Unit, University of Palermo, Palermo, Italy.
  4. Unit of Cardiac Surgery, University of Roma Tor Vergata, Rome, Italy.

PMID: 30795034 PMCID: PMC6386642 DOI: 10.1055/s-0039-1678569

Abstract

Aortic intramural hematoma (IMH) is described as "dissection without intimal tear" due to rhexis of vasa vasorum, which results in bleeding within the tunica media in the absence of intimal disruption or blood flow communication. The aim of our study is to validate perioperative evidence of intimal entry tear in IMH patients and to suggest that this entity may represent a part of a disease and not a separate disease.

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Conflict of interest statement

The authors declare no conflict of interest related to this article.

References

  1. Eur J Cardiothorac Surg. 2013 Aug;44(2):366-9; discussion 369 - PubMed
  2. J Thorac Cardiovasc Surg. 2016 Feb;151(2):374-5 - PubMed
  3. Radiographics. 2016 May-Jun;36(3):660-74 - PubMed

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