Intramural hematoma of the ascending aorta secondary to descending thoracic aortic penetrating ulcer: Findings in two patients

The authors describe two cases of penetrating ulcers of the descending thoracic aorta associated with intramural hematoma of the ascending aorta. Since neither patient had evidence of diffuse thoracic aortic atherosclerosis to limit longitudinal extent of spread, it is postulated that the intramural...

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Veröffentlicht in:Journal of computer assisted tomography 2002-07, Vol.26 (4), p.613-616
Hauptverfasser: RUBINOWITZ, Ami N, KRINSKY, Glenn A, LEE, Vivian S
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creator RUBINOWITZ, Ami N
KRINSKY, Glenn A
LEE, Vivian S
description The authors describe two cases of penetrating ulcers of the descending thoracic aorta associated with intramural hematoma of the ascending aorta. Since neither patient had evidence of diffuse thoracic aortic atherosclerosis to limit longitudinal extent of spread, it is postulated that the intramural hematoma started at the level of the penetrating ulcer and extended into the ascending aorta in a retrograde fashion. This is a potentially lethal entity, not previously described, for which the optimal clinical management is unknown.
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subjects Aged
Aorta - pathology
Aorta, Thoracic - pathology
Aortic Diseases - diagnosis
Aortography
Arteriosclerosis - diagnosis
Biological and medical sciences
Blood and lymphatic vessels
Cardiology. Vascular system
Diseases of the aorta
Female
Follow-Up Studies
Hematoma - diagnosis
Humans
Image Enhancement
Magnetic Resonance Imaging
Medical sciences
Tomography, X-Ray Computed
Ulcer - diagnosis
title Intramural hematoma of the ascending aorta secondary to descending thoracic aortic penetrating ulcer: Findings in two patients
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