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J Comput Assist Tomogr · Nov 1999
Case ReportsSpontaneous progression of ascending aortic intramural hematoma to Stanford type A dissection fortuitously witnessed during an MR examination.
- G Krinsky and G H Ribakove.
- Department of Radiology, NYU Medical Center, New York, NY 10016, USA.
- J Comput Assist Tomogr. 1999 Nov 1;23(6):966-8.
AbstractAortic intramural hematoma may occur as a primary event (spontaneous dissection without intimal flap) or secondary to a penetrating atherosclerotic ulcer. The management of intramural hematoma of the ascending aorta is somewhat controversial because of limited published data, but some centers advocate early surgical intervention. We describe a patient with an intramural hematoma of the ascending aorta that progressed to a classic communicating dissection during an MR examination. This case graphically demonstrates the potential instability of patients with intramural hematoma of the ascending aorta.
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