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CC BY 4.0 · Aorta (Stamford) 2018; 06(03): 092-093
DOI: 10.1055/s-0039-1678569
Images in Aortic Disease
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Radiologic and Intraoperative Finding of Intimal Tear in Type A Intramural Hematoma of the Aorta

Gianfranco Filippone
1   Unit of Cardiac Surgery, University of Palermo, Palermo, Italy
,
Giovanni Caruana
2   Department of Radiology, University of Palermo, Palermo, Italy
,
Violetta Moscaritolo
3   Intensive Care Unit, University of Palermo, Palermo, Italy
,
Sara Rita Vacirca
4   Unit of Cardiac Surgery, University of Roma Tor Vergata, Rome, Italy
,
Vincenzo Argano
1   Unit of Cardiac Surgery, University of Palermo, Palermo, Italy
› Author Affiliations Funding None.
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Publication History

25 May 2017

05 November 2018

Publication Date:
22 February 2019 (online)

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Abstract

Aortic intramural hematoma (IMH) is described as “dissection without intimal tear” due to rhexis of vasa vasorum, which results in bleeding within the tunica media in the absence of intimal disruption or blood flow communication. The aim of our study is to validate perioperative evidence of intimal entry tear in IMH patients and to suggest that this entity may represent a part of a disease and not a separate disease.

Keywords

intramural hematoma - aortic dissection - intimal tear