Intramural Hematoma With Complex Atherosclerosis of the Descending Aorta
2004; Lippincott Williams & Wilkins; Volume: 110; Issue: 12 Linguagem: Inglês
10.1161/01.cir.0000143044.15961.1d
ISSN1524-4539
AutoresJean‐Luc Monin, Hicham Kobeiter,
Tópico(s)Aortic aneurysm repair treatments
ResumoHomeCirculationVol. 110, No. 12Intramural Hematoma With Complex Atherosclerosis of the Descending Aorta Free AccessReview ArticlePDF/EPUBAboutView PDFView EPUBSections ToolsAdd to favoritesDownload citationsTrack citationsPermissions ShareShare onFacebookTwitterLinked InMendeleyReddit Jump toFree AccessReview ArticlePDF/EPUBIntramural Hematoma With Complex Atherosclerosis of the Descending Aorta Jean-Luc Monin, MD and Hicham Kobeiter, MD Jean-Luc MoninJean-Luc Monin From the Departments of Cardiology (J.-L. M.) and Radiology (H.K.), Henri Mondor Hospital, Créteil, France and Hicham KobeiterHicham Kobeiter From the Departments of Cardiology (J.-L. M.) and Radiology (H.K.), Henri Mondor Hospital, Créteil, France Originally published21 Sep 2004https://doi.org/10.1161/01.CIR.0000143044.15961.1DCirculation. 2004;110:e310A 75-year-old man with a history of hypertension presented with acute abdominal pain radiating to the back. Initial physical examination revealed symmetric high blood pressure (170/100 mm Hg) without pulse deficit. The thoracic aorta was enlarged on chest x-ray. Computed tomography (Figure, A) showed a dilatation of the thoracic aorta, with complex atherosclerosis of the descending segment; central displacement of intimal calcifications (arrows) raised the suspicion of aortic intramural hematoma of the descending aorta. Transesophageal echocardiography confirmed complex aortic plaques of the descending aorta with mobile elements and a crescent-like echo-free space under the atherosclerotic plaques (Figure, B, arrows). Blood pressure and symptoms were stabilized with aggressive antihypertensive medications. Magnetic resonance imaging confirmed severe atherosclerosis of the descending aorta, with a deeper crescent-like thickening of the aortic wall (Figure, C, arrows) containing high-signal areas (true fast imaging with steady state precision sequence with T2 weighting) due to methemoglobin formation, demonstrating intramural hemorrhage. Download figureDownload PowerPointDiagnostic features of intramural hematoma according to different imaging modalities: Computed tomography (A), transesophageal echocardiography (B), and magnetic resonance imaging (C).FootnotesCorrespondence to Jean-Luc Monin, MD, Department of Cardiology, Henri Mondor Hospital, 51 avenue De Lattre de Tassigny, 94010 Créteil, France. E- mail [email protected] Previous Back to top Next FiguresReferencesRelatedDetailsCited By Liu Y, Zhang Q, Du Z, Yang L, Zhang L, He R, Wang Y, Han Y and Wang X (2018) Long-term follow-up and clinical implications in Chinese patients with aortic intramural hematomas, International Journal of Cardiology, 10.1016/j.ijcard.2018.06.077, 270, (268-272), Online publication date: 1-Nov-2018. September 21, 2004Vol 110, Issue 12 Advertisement Article InformationMetrics https://doi.org/10.1161/01.CIR.0000143044.15961.1DPMID: 15381662 Originally publishedSeptember 21, 2004 PDF download Advertisement SubjectsComputerized Tomography (CT)Imaging
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