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Author Spotlight: Using Point-of-Care Ultrasound for Comprehensive Evaluation of the Abdominal Aorta
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Clinical implication of multimodality imaging of aortic root intramural hematoma

Giulio Falasconi1, Antonio Boccellino2, Antonio Esposito3,4

  • 1Clinical Cardiology Unit, Cardio-Thoracic-Vascular Department, San Raffaele Scientific Institute, Via Olgettina 60, 20132, Milan, Italy. giuliofalasconi@gmail.com.

The International Journal of Cardiovascular Imaging
|September 15, 2021
PubMed

Insights

A chronic intramural hematoma in the aortic root was found during an acute coronary syndrome event. Multimodality imaging confirmed the diagnosis and guided treatment for this rare aortic condition.

Area of Science:

  • Cardiology
  • Radiology
  • Vascular Medicine

Background:

  • Aortic root pathology can present insidiously, sometimes masked by acute cardiovascular events.
  • Intramural hematomas of the aorta are uncommon and pose diagnostic challenges.
  • Acute coronary syndromes necessitate a broad differential diagnosis, including non-coronary aortic pathology.

Observation:

  • A case is presented of a patient with acute coronary syndrome.
  • A chronic intramural hematoma of the aortic root was incidentally discovered.
  • The lesion was characterized using a combination of imaging modalities.

Findings:

  • Echocardiography, computed-tomography (CT), magnetic resonance (MR), and positron emission tomography (PET) were employed.
  • Multimodality imaging was crucial for accurate characterization of the aortic root lesion.
  • The findings confirmed a chronic intramural hematoma of the aortic root.

Implications:

  • Complex aortic pathologies require advanced imaging techniques for diagnosis.
  • Accurate diagnosis through multimodality imaging is essential for appropriate patient management.
  • This case highlights the importance of considering aortic pathology in patients presenting with acute coronary syndromes.

Keywords:
Computed tomographyIntramural aortic haematomaMultimodality imagingTransoesophageal echocardiography

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