Typically, aortic intramural hematomas are seen in elderly hypertensive patients. The same condition may also develop as a result of blunt chest trauma with aortic wall injury or a penetrating atherosclerotic ulcer 1,2. See more The clinical features of intramural hematoma are those of the acute aortic syndromes, namely chest pain radiating to the back and hypertension 14. See more Acute intramural hematomas appear as focal, crescentic, high-attenuating (60-70 HU) regions of eccentrically thickened aortic wall on non-contrast CT (high-attenuation crescent sign). The narrow window width is … See more This condition is thought to begin with spontaneous rupture of the vasa vasorum, the blood vessels that penetrate the outer half of the aortic media from the adventitia and arborize within the media to supply the aortic wall 2. … See more If an intramural hematoma involves the ascending aorta (Stanford A), surgical treatment is offered to prevent rupture and progression to … See more WebMoral S, Cuéllar H, Avegliano G et al (2024) Clinical implications of focal intimal disruption in patients with type B intramural hematoma. ... Aharinejad S, Czerny M (2008) Novel insights into the mechanisms and treatment of intramural hematoma affecting the entire thoracic aorta. Ann Thorac Surg 86(2):453–456 CrossRef PubMed.
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WebApr 13, 2024 · Aortic Intramural Hematoma. The patient is a 79-year-old male who was admitted for evaluation of sudden acute onset of back pain. The patient had a chest CT, which revealed type B intramural hematoma. The physician's final diagnostic statement listed, "Type B aortic thoracic intramural hematoma, chronic hypertension, chronic … WebNov 26, 2024 · Calcium pyrophosphate dihydrate (CPPD) crystal deposition disease or pseudogout is an idiopathic articular disease that predominantly affects elderly patients. It is caused by a systemic deposition of calcium pyrophosphate (CPP) crystals in the articular and hyaline joint cartilage. The majority of cases present as chronic arthritis, but a subset … funny happy 60th birthday
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WebNov 12, 2024 · Intramural blood pools are located within the intramural hematoma and either do not visibly communicate with the true lumen, or do so only via a very small (<2 … Webperiaortic hematoma in the aortic isthmus area. Figure 2 Aortography showed an interruption (the so called“linear tear”) of the normal contour of the thoracic aorta in the corresponding area. A protrusion of the aortic lumen in the inner curve of the aorta is indicating the disruption of the intima and beginning of a pseudoaneurysm. WebAug 19, 2024 · Case report of patient who underwent thoracic endovascular aortic repair (TEVAR) following type B aortic dissection, and 5 years later presented with intramural haematoma of the ascending aorta. Although uncommon, when life-threatening complications arise post-TEVAR, treatment is associated with increased mortality and … gis thurston county nebraska