<abstract xmlns="http://www.w3.org/1999/xhtml"><p> Aortic intramural hematoma frequently appear in elderly hypertensive patients who suffered a vasa vasorum rupture into the media, presenting clinical symptoms similar to aortic dissection. The current available data suggest a similar treatment strategy as in aortic dissection, although intramural hematoma is a different pathophysiological entity. The issue of the vulnerable contact of the intraaortic plaque, which is prone to rupture and to trigger the formation of an intramural hematoma, has not been elucidated so far. We present a brief literature review regarding complex plaque analysis, which opens a new area in identification of vulnerable patients with intramural hematoma, important for management of these patients and optimization of their treatment in order to avoid complications.</p></abstract>

Aortic intramural hematoma frequently appear in elderly hypertensive patients who suffered a vasa vasorum rupture into the media, presenting clinical symptoms similar to aortic dissection. The current available data suggest a similar treatment strategy as in aortic dissection, although intramural hematoma is a different pathophysiological entity. The issue of the vulnerable contact of the intraaortic plaque, which is prone to rupture and to trigger the formation of an intramural hematoma, has not been elucidated so far. We present a brief literature review regarding complex plaque analysis, which opens a new area in identification of vulnerable patients with intramural hematoma, important for management of these patients and optimization of their treatment in order to avoid complications.

New Perspectives in the Management of Aortic Intramural Hematoma – a literature review

County Emergency Clinical Hospital, Targu Mures, Clinic of Cardiology

County Emergency Clinical Hospital, Targu Mures

University of Medicine and Pharmacy of Tîrgu Mures, Department M3, Discipline of Internal Medicine 6 – Clinic of Cardiology

Acta Marisiensis - Seria Medica

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Aortic intramural hematoma frequently appear in elderly hypertensive patients who suffered a vasa vasorum rupture into the media, presenting clinical symptoms...

New Perspectives in the Management of Aortic Intramural Hematoma – a literature review

Published Online: Nov 25, 2014

Page range: 171 - 174

Received: Jul 25, 2014

Accepted: Aug 12, 2014

DOI: https://doi.org/10.2478/amma-2014-0038

Keywords
Intramural hematoma, Ulcer-like projection, Penetrating atherosclerotic ulcer

© by Kinga Pal

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

New Perspectives in the Management of Aortic Intramural Hematoma – a literature review

Published Online: Nov 25, 2014

Page range: 171 - 174

Received: Jul 25, 2014

Accepted: Aug 12, 2014

DOI: https://doi.org/10.2478/amma-2014-0038

KeywordsIntramural hematoma, Ulcer-like projection, Penetrating atherosclerotic ulcer

© by Kinga Pal

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Keywords
Intramural hematoma, Ulcer-like projection, Penetrating atherosclerotic ulcer