Detection of Intimal Defect by 64-Row Multidetector Computed Tomography in Patients With Acute Aortic Intramural Hematoma

Kitai, Takeshi; Kaji, Shuichiro; Yamamuro, Atsushi; Tani, Tohru; Kinoshita, Makoto; Ehara, Natsuhiko; Kobori, Atsushi; Kim, Kitae; Kita, Toru; Furukawa, Yutaka

doi:10.1161/circulationaha.111.037416

Cited by 89 publications

(68 citation statements)

References 16 publications

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“…On surveillance imaging of IMH, the appearance of ULP is frequently observed, and such ulcers may rupture and allow communication between the medial hematoma and the aortic lumen. 221,222 MRI offers the possibility of diagnosing the intramural bleeding evolution and new asymptomatic intramural rebleeding episodes.…”

Section: Serialmentioning

confidence: 99%

Multimodality Imaging of Diseases of the Thoracic Aorta in Adults: From the American Society of Echocardiography and the European Association of Cardiovascular Imaging

Goldstein

Evangelista

Abbara

et al. 2015

Journal of the American Society of Echocardiography

543

434

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Section: Serialmentioning

confidence: 99%

Multimodality Imaging of Diseases of the Thoracic Aorta in Adults: From the American Society of Echocardiography and the European Association of Cardiovascular Imaging

Goldstein

Evangelista

Abbara

et al. 2015

Journal of the American Society of Echocardiography

543

434

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“…To add to the controversy, surgical interrogation and higher resolution computed tomography (CT) imaging has discovered intimal defects in approximately 70% of initially diagnosed IMHs (28,29). This suggests that a majority of radiographically-appearing IMH are in fact AD with undetected intimal tears and thrombosis of the false lumen.…”

Section: Intramural Hematoma (Imh)mentioning

confidence: 99%

“…Females can have IMH more often than males in contradistinction to AD (23,27). Clinically, type A IMH is more often associated with pericardial tamponade and periaortic hematoma (23,24,27,29,30). And several studies have noted a higher risk of rupture than AD (26% vs. 8%) and/or progression to frank AD (23)(24)(25)).…”

Section: Intramural Hematoma (Imh)mentioning

confidence: 99%

Acute aortic syndrome

Corvera

2016

Ann. Cardiothorac. Surg.

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Acute aortic syndrome (AAS) is a term used to describe a constellation of life-threatening aortic diseases that have similar presentation, but appear to have distinct demographic, clinical, pathological and survival characteristics. Many believe that the three major entities that comprise AAS: aortic dissection (AD), intramural hematoma (IMH) and penetrating aortic ulcer (PAU), make up a spectrum of aortic disease in which one entity may evolve into or coexist with another. Much of the confusion in accurately classifying an AAS is that they present with similar symptoms: typically acute onset of severe chest or back pain, and may have similar radiographic features, since the disease entities all involve injury or disruption of the medial layer of the aortic wall. The accurate diagnosis of an AAS is often made at operation. This manuscript will attempt to clarify the similarities and differences between AD, IMH and PAU of the ascending aorta and describe the challenges in distinguishing them from one another.

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“…CTA has become the best modality for diagnosing aortic disease, especially acute aortic disease, due to its ability to rapidly detect aortic pathology [1,21,43,44]. Most aortic diseases are easily detected in the arterial phase, and delayed (venous) phases are often included in protocols to evaluate the late-enhancing false lumen and perfusion state of the impacted solid organs, especially in aortic dissection (Table 2) [21].…”

Section: Computed Tomography Protocols In Acute Aortic Syndromementioning

confidence: 99%

Acute Aortic Syndrome: Recent Trends in Imaging Assessment Using Computed Tomography Angiography

Kang

Lee

2017

Cardiovasc Imaging Asia

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Multidetector computed tomography (CT) has become the best modality for evaluating an aorta in the acute setting, due to its ability to rapidly detect aortic pathology with high spatial resolution. Moreover, using three-dimensional multiplanar reconstruction, CT scans can provide informative images and accurate measurements of aortic size and other anatomical landmarks. This review focuses on the CT imaging findings of aortic normal anatomy, aortic aneurysm, and the imaging spectrum of acute aortic syndrome, which includes penetrating atherosclerotic ulcer, intramural hematoma, and aortic dissection.

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Detection of Intimal Defect by 64-Row Multidetector Computed Tomography in Patients With Acute Aortic Intramural Hematoma

Abstract: Background-Previous

Cited by 89 publications

References 16 publications

Multimodality Imaging of Diseases of the Thoracic Aorta in Adults: From the American Society of Echocardiography and the European Association of Cardiovascular Imaging

Multimodality Imaging of Diseases of the Thoracic Aorta in Adults: From the American Society of Echocardiography and the European Association of Cardiovascular Imaging

Acute aortic syndrome

Acute Aortic Syndrome: Recent Trends in Imaging Assessment Using Computed Tomography Angiography

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