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Type A Aortic Dissection With Intramural Hematoma: A Challenging Diagnosis

Tayseer Kanaan1, Ahmed S Abdelrahman1, Jihad Jaber1

  • 1Cardiology, Hamad Medical Corporation, Doha, QAT.

Cureus
|February 6, 2023
PubMed

Insights

Intramural hematoma (IMH), a type of acute aortic syndrome (AAS), can be challenging to diagnose. This case report details a surgically managed Stanford type A IMH with a successful outcome.

Area of Science:

  • Cardiovascular Medicine
  • Thoracic Surgery

Background:

  • Intramural hematoma (IMH) is a critical component of acute aortic syndromes (AAS), encompassing aortic dissection (AD) and penetrating atherosclerotic ulcers (PAU).
  • AAS presents similarly but exhibits diverse clinical, pathological, and survival characteristics.
  • Accurate classification of IMH, similar to AD, uses systems like Stanford and DeBakey.

Keywords:
acute aortic syndromeaortic dissectionchest painintramural hematomatype a aortic dissection

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