Computed Tomography of Aortic Intramural Hematoma and Thrombosed Dissection
A retrospective study was undertaken to evaluate the appearance of the aortic wall on computed tomography for the purpose of developing criteria for differentiating acute aortic intramural hematoma from thrombosed false lumen seen in aortic dissection. Computed tomography angiography findings of the...
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| Veröffentlicht in: | Asian cardiovascular & thoracic annals 2010-10, Vol.18 (5), p.456-463 |
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| creator | Siriapisith, Thanongchai Wasinrat, Jitladda Slisatkorn, Worawong |
| description | A retrospective study was undertaken to evaluate the appearance of the aortic wall on computed tomography for the purpose of developing criteria for differentiating acute aortic intramural hematoma from thrombosed false lumen seen in aortic dissection. Computed tomography angiography findings of the thoracoabdominal aorta in 23 patients with suspected intramural hematoma and 25 with thrombosed false lumen were reviewed. The more common features of an intramural hematoma were hyperattenuation of the aortic wall, wall thickness less than a quarter of the aortic diameter, intrinsic wall calcification, a lesion extending around the entire aortic circumference, and ulcer-like projections that may be precursors of intramural hematoma. Wall thickness less than a quarter of the aortic diameter, lesion extending around the entire aortic circumference, and ulcer-like projections were the most useful indicators for distinguishing intramural hematoma from the thrombosed false lumen in aortic dissection. |
| doi_str_mv | 10.1177/0218492310380473 |
| format | Article |
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Computed tomography angiography findings of the thoracoabdominal aorta in 23 patients with suspected intramural hematoma and 25 with thrombosed false lumen were reviewed. The more common features of an intramural hematoma were hyperattenuation of the aortic wall, wall thickness less than a quarter of the aortic diameter, intrinsic wall calcification, a lesion extending around the entire aortic circumference, and ulcer-like projections that may be precursors of intramural hematoma. 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Computed tomography angiography findings of the thoracoabdominal aorta in 23 patients with suspected intramural hematoma and 25 with thrombosed false lumen were reviewed. The more common features of an intramural hematoma were hyperattenuation of the aortic wall, wall thickness less than a quarter of the aortic diameter, intrinsic wall calcification, a lesion extending around the entire aortic circumference, and ulcer-like projections that may be precursors of intramural hematoma. Wall thickness less than a quarter of the aortic diameter, lesion extending around the entire aortic circumference, and ulcer-like projections were the most useful indicators for distinguishing intramural hematoma from the thrombosed false lumen in aortic dissection.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aneurysm, Dissecting - diagnostic imaging</subject><subject>Aortic Aneurysm, Thoracic - diagnostic imaging</subject><subject>Aortic Diseases - diagnostic imaging</subject><subject>Aortography - methods</subject><subject>Calcinosis - diagnostic imaging</subject><subject>Diagnosis, Differential</subject><subject>Female</subject><subject>Hematoma - diagnostic imaging</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Predictive Value of Tests</subject><subject>Retrospective Studies</subject><subject>Thailand</subject><subject>Thrombosis - diagnostic imaging</subject><subject>Tomography, X-Ray Computed</subject><subject>Ulcer - diagnostic imaging</subject><issn>0218-4923</issn><issn>1816-5370</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kL1PwzAUxC0EoqWwM6FsTIHnOIntsSofrajEUuboNXbaVHEcbGfgvydRCwMS0xvud6d7R8gthQdKOX-EhIpUJowCE5BydkamVNA8zhiHczId5XjUJ-TK-wMAMMrEJZkkIFOeA0zJ28Karg9aRRtr7M5ht_-KbBXNrQt1Ga3a4ND0DptoqQ0GazDCdoD3zpqt9YPvqfZel6G27TW5qLDx-uZ0Z-Tj5XmzWMbr99fVYr6OS0Z5iLXESiOmSqR8aA1UYS54lmOlhn6Cg6BVlghZiUwh15QKIXmqdCYlk4olbEbuj7mds5-99qEwtS9102Crbe8LngnB8vHbGYEjWTrrvdNV0bnaoPsqKBTjgsXfBQfL3Sm83xqtfg0_kw1AfAQ87nRxsL1rh2f_D_wGSul3Sw</recordid><startdate>201010</startdate><enddate>201010</enddate><creator>Siriapisith, Thanongchai</creator><creator>Wasinrat, Jitladda</creator><creator>Slisatkorn, Worawong</creator><general>SAGE Publications</general><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>7X8</scope></search><sort><creationdate>201010</creationdate><title>Computed Tomography of Aortic Intramural Hematoma and Thrombosed Dissection</title><author>Siriapisith, Thanongchai ; Wasinrat, Jitladda ; Slisatkorn, Worawong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c317t-e9afeaa4d84780401da68756afd03187081f5289f85da7e1188974de59939d323</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aneurysm, Dissecting - diagnostic imaging</topic><topic>Aortic Aneurysm, Thoracic - diagnostic imaging</topic><topic>Aortic Diseases - diagnostic imaging</topic><topic>Aortography - methods</topic><topic>Calcinosis - diagnostic imaging</topic><topic>Diagnosis, Differential</topic><topic>Female</topic><topic>Hematoma - diagnostic imaging</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Predictive Value of Tests</topic><topic>Retrospective Studies</topic><topic>Thailand</topic><topic>Thrombosis - diagnostic imaging</topic><topic>Tomography, X-Ray Computed</topic><topic>Ulcer - diagnostic imaging</topic><toplevel>online_resources</toplevel><creatorcontrib>Siriapisith, Thanongchai</creatorcontrib><creatorcontrib>Wasinrat, Jitladda</creatorcontrib><creatorcontrib>Slisatkorn, Worawong</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Asian cardiovascular & thoracic annals</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Siriapisith, Thanongchai</au><au>Wasinrat, Jitladda</au><au>Slisatkorn, Worawong</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Computed Tomography of Aortic Intramural Hematoma and Thrombosed Dissection</atitle><jtitle>Asian cardiovascular & thoracic annals</jtitle><addtitle>Asian Cardiovasc Thorac Ann</addtitle><date>2010-10</date><risdate>2010</risdate><volume>18</volume><issue>5</issue><spage>456</spage><epage>463</epage><pages>456-463</pages><issn>0218-4923</issn><eissn>1816-5370</eissn><abstract>A retrospective study was undertaken to evaluate the appearance of the aortic wall on computed tomography for the purpose of developing criteria for differentiating acute aortic intramural hematoma from thrombosed false lumen seen in aortic dissection. Computed tomography angiography findings of the thoracoabdominal aorta in 23 patients with suspected intramural hematoma and 25 with thrombosed false lumen were reviewed. The more common features of an intramural hematoma were hyperattenuation of the aortic wall, wall thickness less than a quarter of the aortic diameter, intrinsic wall calcification, a lesion extending around the entire aortic circumference, and ulcer-like projections that may be precursors of intramural hematoma. Wall thickness less than a quarter of the aortic diameter, lesion extending around the entire aortic circumference, and ulcer-like projections were the most useful indicators for distinguishing intramural hematoma from the thrombosed false lumen in aortic dissection.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>20947600</pmid><doi>10.1177/0218492310380473</doi><tpages>8</tpages></addata></record> |
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| ispartof | Asian cardiovascular & thoracic annals, 2010-10, Vol.18 (5), p.456-463 |
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| source | MEDLINE; SAGE Complete A-Z List |
| subjects | Aged Aged, 80 and over Aneurysm, Dissecting - diagnostic imaging Aortic Aneurysm, Thoracic - diagnostic imaging Aortic Diseases - diagnostic imaging Aortography - methods Calcinosis - diagnostic imaging Diagnosis, Differential Female Hematoma - diagnostic imaging Humans Male Middle Aged Predictive Value of Tests Retrospective Studies Thailand Thrombosis - diagnostic imaging Tomography, X-Ray Computed Ulcer - diagnostic imaging |
| title | Computed Tomography of Aortic Intramural Hematoma and Thrombosed Dissection |
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