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Complete and Partial Resuscitative Endovascular Balloon Occlusion of the Aorta for Hemorrhagic Shock

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Aortopulmonary Shared Sheath Hematoma.

Hessami Ateeya¹, Jonathan Revels², Shaimaa Fadl¹

¹Virginia Commonwealth University Health Syste, Richmond, VA.

Seminars in Roentgenology

|June 21, 2026

Summary

This summary is machine-generated.

Aortopulmonary shared sheath hematoma, a rare complication of acute aortic syndromes, involves aortic rupture into the aortopulmonary adventitia. Recognizing its imaging features is crucial for prompt diagnosis and management of pulmonary artery compression.

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Area of Science:

Cardiovascular Imaging
Radiology
Thoracic Surgery

Background:

Aortopulmonary shared sheath hematoma is a rare complication of acute aortic syndromes.
It arises from focal rupture of the ascending aorta into the common aortopulmonary adventitia.
This condition is associated with ascending aortic dissection, intramural hematoma, or ruptured aortic aneurysm.

Purpose of the Study:

To highlight the importance of recognizing imaging features of aortopulmonary shared sheath hematoma.
To emphasize the need for prompt diagnosis and management of this rare complication.
To guide radiologists in identifying this condition for timely clinical intervention.

Main Methods:

Review of imaging findings associated with aortopulmonary shared sheath hematoma.
Analysis of cases involving acute aortic syndromes and subsequent aortopulmonary adventitial hematoma formation.
Correlation of imaging features with clinical presentation and outcomes.

Main Results:

Aortopulmonary shared sheath hematoma can extend along pulmonary arteries, causing extraluminal compression and narrowing.
Imaging demonstrates a hematoma within the aortopulmonary adventitial space.
Prompt identification by radiologists is key to effective management.

Conclusions:

Aortopulmonary shared sheath hematoma is a critical diagnosis in patients with acute aortic syndromes.
Radiologists play a vital role in identifying this condition through characteristic imaging findings.
Early recognition facilitates urgent management and improves patient outcomes.