Two Cases of Ascending Aortic Intramural Hematoma Combined with Cardiac Tamponade Treated with Different Strategies

Aortic intramural hematoma (IMH) is classically defined as a variation of aortic dissection where blood collects within the aortic media without the presence of an intimal flap. Ascending IMH is known to have worse clinical outcomes than IMH of the descending aorta or aortic arch. Therefore, some pa...

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Published inSoonchunhyang medical science Vol. 18; no. 1; pp. 48 - 51
Main Authors Kim, Min-Suk, Kim, Tae-Jin, Moon, Jong Joo, Nam, Jae-Hyung, Han, Dong-Hoon, Ahn, Ji-Hun, Kim, Tae-Hoon, Kim, Do-Hoi, Youn, Young-Nam, Kim, Yoon-Nyun
Format Journal Article
LanguageEnglish
Published 순천향의학연구소 01.06.2012
Subjects
의학일반
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ISSN2233-4289
2233-4297
2233-4297
DOI10.15746/sms.12.009

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Summary:Aortic intramural hematoma (IMH) is classically defined as a variation of aortic dissection where blood collects within the aortic media without the presence of an intimal flap. Ascending IMH is known to have worse clinical outcomes than IMH of the descending aorta or aortic arch. Therefore, some patients with higher risk of disease progression require surgical corrections. However, the indications and the benefits of surgical management of ascending IMH, compared with medical treatment only, have not yet been established. We present two cases of IMH in the ascending aorta that presented with cardiac tamponade; patients were treated differently according to risk factors. KCI Citation Count: 0
Bibliography:G704-SER000013511.2012.18.1.002
ISSN:2233-4289
2233-4297
2233-4297
DOI:10.15746/sms.12.009