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Aortic Intramural Hematoma

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Aortic Dissection and Acute Aortic Syndromes

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Abstract

Acute aortic intramural hematoma is a subtype of an acute aortic syndrome in which blood is present within the aortic wall without evidence of intimal injury. The etiology of aortic intramural hematoma is unknown and the pathology may in fact be similar to a true aortic dissection in the absence of a visible intimal defect on imaging. Classification follows that of the Stanford classification system for aortic dissection. Management strategies remain controversial. Western centers generally follow similar management strategies as would be done for a conventional aortic dissection, whereas Asian centers have reported excellent outcomes with medical management.

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Author information

Authors and Affiliations

  1. Division of Cardiothoracic Surgery, Alpert Medical School, Brown University, Providence, Rhode Island, USA

    Neel R. Sodha

  2. Cardiothoracic Surgery, Alpert Medical School, Brown University, Providence, Rhode Island, USA

    Frank W. Sellke

Authors
  1. Neel R. Sodha
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  2. Frank W. Sellke
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Corresponding author

Correspondence to Neel R. Sodha .

Editor information

Editors and Affiliations

  1. Rhode Island Hospital, Brown University, Providence, RI, USA

    Frank W. Sellke

  2. Department of Surgery, Baylor College of Medicine, Houston, USA

    Joseph S. Coselli

  3. Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA

    Thoralf M. Sundt

  4. Perelman Center for Advanced Medicine, University of Pennsylvania, Philadelphia, PA, USA

    Joseph E. Bavaria

  5. Thoracic Cardiothoracic Surgery, Rhode Island Hospital and Alpert Medical School of Brown University, Providence, RI, USA

    Neel R. Sodha

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Sodha, N.R., Sellke, F.W. (2021). Aortic Intramural Hematoma. In: Sellke, F.W., Coselli, J.S., Sundt, T.M., Bavaria, J.E., Sodha, N.R. (eds) Aortic Dissection and Acute Aortic Syndromes. Springer, Cham. https://doi.org/10.1007/978-3-030-66668-2_16

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  • DOI: https://doi.org/10.1007/978-3-030-66668-2_16

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-66667-5

  • Online ISBN: 978-3-030-66668-2

  • eBook Packages: MedicineMedicine (R0)

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