Current understandings and approach to the management of aortic intramural hematomas

Joshua B Goldberg; Joon Bum Kim; Thoralf M Sundt

doi:10.1053/j.semtcvs.2014.07.003

Current understandings and approach to the management of aortic intramural hematomas

Semin Thorac Cardiovasc Surg. 2014 Summer;26(2):123-31. doi: 10.1053/j.semtcvs.2014.07.003. Epub 2014 Jul 16.

Authors

Joshua B Goldberg¹, Joon Bum Kim¹, Thoralf M Sundt²

Affiliations

¹ Division of Cardiac Surgery, Department of Surgery, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts.
² Division of Cardiac Surgery, Department of Surgery, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts. Electronic address: TSUNDT@mgh.harvard.edu.

PMID: 25441003
DOI: 10.1053/j.semtcvs.2014.07.003

Abstract

Intramural hematoma is the most enigmatic of the 3 lethal entities comprising acute aortic syndrome. Despite being identified almost 100 years ago, there is considerable controversy surrounding the definition, etiology, management, and the very existence of intramural hematoma. The following review outlines these controversies and discusses their effect on management strategies.

Keywords: acute aortic syndrome; aortic dissection; aortic surgery; intramural hematoma; penetrating aortic ulcer.

Publication types

Review

MeSH terms

Aortic Diseases / diagnosis
Aortic Diseases / mortality
Aortic Diseases / physiopathology
Aortic Diseases / therapy*
Diagnostic Imaging / methods
Hematoma / diagnosis
Hematoma / mortality
Hematoma / physiopathology
Hematoma / therapy*
Humans
Predictive Value of Tests
Risk Assessment
Risk Factors
Treatment Outcome