• Circulation · Mar 2003

    Multicenter Study

    Intramural hematoma of the aorta: predictors of progression to dissection and rupture.

    • Yskert von Kodolitsch, Susanne K Csösz, Dietmar H Koschyk, Ilka Schalwat, Roger Loose, Matthias Karck, Christoph Dieckmann, Rossella Fattori, Axel Haverich, Jürgen Berger, Thomas Meinertz, and Christoph A Nienaber.
    • Department of Internal Medicine, Division of Cardiology, University Hospital Eppendorf, Hamburg, Germany.
    • Circulation. 2003 Mar 4;107(8):1158-63.

    BackgroundAortic intramural hematoma (IMH) is a variant of overt aortic dissection. The predictors of progression of IMH to dissection and rupture are still unknown, and strategies for management are not established.Methods And ResultsA multicenter study was conducted comprising 66 patients with IMH and hospital admission ConclusionsRegardless of aortic diameter, IMH of the ascending aorta (type A) is at high risk for early progression, and, thus, undelayed surgical repair should be performed. Moreover, oral beta-blocker therapy may improve long-term prognosis of IMH independent of anatomical location.

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