Abstract
Aortic intramural hematoma is among the spectrum of pathologies that comprises acute
aortic syndrome and carries a risk of progression to aortic dissection, aneurysm,
rupture, and other complications. Evaluation by CT can identify imaging features associated
with higher risk of complications. Ulcer-like projections, enlarged aortic diameter,
increased hematoma thickness, and Stanford type A classification are associated with
progression to complications. The significance of intramural blood pools within the
hematoma and associated pleural/pericardial effusions is less certain. Detailed evaluation
of intramural hematoma with CT can provide critical prognostic information with implications
for patient management.
Keywords
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Article info
Publication history
Published online: May 13, 2013
Accepted:
April 23,
2013
Received in revised form:
February 14,
2013
Received:
November 8,
2012
Footnotes
Conflict of interest: E.K. Fishman receives research support from Siemens Healthcare and GE Healthcare and is a cofounder of HipGraphics, Inc.
Identification
Copyright
© 2013 Society of Cardiovascular Computed Tomography. Published by Elsevier Inc. All rights reserved.
