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.
Highlights
Gianfranco Filippone, MD1 Giovanni Caruana, MD2 Violetta Moscaritolo, MD3 Sara Rita Vacirca, MD4 Vincenzo Argano, MD1
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
An unenhanced computed tomography (CT) scan was performed, which showed an aneurysm of the thoracic aorta (6 cm) complicated by Type A intramural hematoma (IMH) (►Fig. 1A, B)
Summary
Gianfranco Filippone, MD1 Giovanni Caruana, MD2 Violetta Moscaritolo, MD3 Sara Rita Vacirca, MD4 Vincenzo Argano, MD1. Unit of Cardiac Surgery, University of Palermo, Palermo, Italy Department of Radiology, University of Palermo, Palermo, Italy
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