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 |
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container_title | Journal of computer assisted tomography |
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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. |
doi_str_mv | 10.1097/00004728-200207000-00024 |
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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.</description><identifier>ISSN: 0363-8715</identifier><identifier>EISSN: 1532-3145</identifier><identifier>DOI: 10.1097/00004728-200207000-00024</identifier><identifier>PMID: 12218829</identifier><identifier>CODEN: JCATD5</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott</publisher><subject>Aged ; Aorta - pathology ; Aorta, Thoracic - pathology ; Aortic Diseases - diagnosis ; Aortography ; Arteriosclerosis - diagnosis ; Biological and medical sciences ; Blood and lymphatic vessels ; Cardiology. 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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.</description><subject>Aged</subject><subject>Aorta - pathology</subject><subject>Aorta, Thoracic - pathology</subject><subject>Aortic Diseases - diagnosis</subject><subject>Aortography</subject><subject>Arteriosclerosis - diagnosis</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Cardiology. Vascular system</subject><subject>Diseases of the aorta</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Hematoma - diagnosis</subject><subject>Humans</subject><subject>Image Enhancement</subject><subject>Magnetic Resonance Imaging</subject><subject>Medical sciences</subject><subject>Tomography, X-Ray Computed</subject><subject>Ulcer - diagnosis</subject><issn>0363-8715</issn><issn>1532-3145</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkUtP3DAQgK2qVVlo_0LlC70Fxo_40RtCpSAh9dKeI7_STZXYW9sR4sJvxyxbOGLJGlnzzYw1H0KYwBkBLc-hHS6p6igABdleXbuUv0Mb0jPaMcL792gDTLBOSdIfoeNS_gIQyRj_iI4IpUQpqjfo4SbWbJY1mxlvw2JqWgxOI67bgE1xIfop_sEm5WpwCS5Fb_I9rgn78JKt25SNm9wea2EXYmhN61NunV3I3_DVtEcLniKudwnvWjbEWj6hD6OZS_h8iCfo99X3X5fX3e3PHzeXF7edY5LWThpuvSLaWq1F4AJ6LbQRgVmnPYzgwSmhHJUgrRytBc-4tzL0zHAvhWAn6Otz311O_9ZQ6rBM7f_zbGJIaxkkBaHbRt8EKfRSa0kaqJ5Bl1MpOYzDLk9LW85AYHiSNPyXNLxIGvaSWumXw4zVLsG_Fh6sNOD0ADQFZh6ziW4qrxxnUkHjHgE_b5vd</recordid><startdate>20020701</startdate><enddate>20020701</enddate><creator>RUBINOWITZ, Ami N</creator><creator>KRINSKY, Glenn A</creator><creator>LEE, Vivian S</creator><general>Lippincott</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>20020701</creationdate><title>Intramural hematoma of the ascending aorta secondary to descending thoracic aortic penetrating ulcer: Findings in two patients</title><author>RUBINOWITZ, Ami N ; KRINSKY, Glenn A ; LEE, Vivian S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-7a4bd819bb996e4605969a6e3bc9d0f0d0c868c2707b7fbb0d34db7e53a4d7663</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Aged</topic><topic>Aorta - pathology</topic><topic>Aorta, Thoracic - pathology</topic><topic>Aortic Diseases - diagnosis</topic><topic>Aortography</topic><topic>Arteriosclerosis - diagnosis</topic><topic>Biological and medical sciences</topic><topic>Blood and lymphatic vessels</topic><topic>Cardiology. Vascular system</topic><topic>Diseases of the aorta</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Hematoma - diagnosis</topic><topic>Humans</topic><topic>Image Enhancement</topic><topic>Magnetic Resonance Imaging</topic><topic>Medical sciences</topic><topic>Tomography, X-Ray Computed</topic><topic>Ulcer - diagnosis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>RUBINOWITZ, Ami N</creatorcontrib><creatorcontrib>KRINSKY, Glenn A</creatorcontrib><creatorcontrib>LEE, Vivian S</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of computer assisted tomography</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>RUBINOWITZ, Ami N</au><au>KRINSKY, Glenn A</au><au>LEE, Vivian S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intramural hematoma of the ascending aorta secondary to descending thoracic aortic penetrating ulcer: Findings in two patients</atitle><jtitle>Journal of computer assisted tomography</jtitle><addtitle>J Comput Assist Tomogr</addtitle><date>2002-07-01</date><risdate>2002</risdate><volume>26</volume><issue>4</issue><spage>613</spage><epage>616</epage><pages>613-616</pages><issn>0363-8715</issn><eissn>1532-3145</eissn><coden>JCATD5</coden><abstract>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.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott</pub><pmid>12218829</pmid><doi>10.1097/00004728-200207000-00024</doi><tpages>4</tpages></addata></record> |
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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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