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Imaging of Intramural Hematoma and Penetrating Atherosclerotic Ulcer by CT and MRI

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Aortic Dissection and Acute Aortic Syndromes

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Abstract

Acute aortic Intramural hematomas (IMH) and penetrating atherosclerotic (or aortic) ulcers (PAU) are potentially life-threatening lesions that demand timely diagnosis for appropriate triage and management. Diagnosis in turn relies heavily on imaging, with computed tomography (CT) serving as the standard first-line diagnostic imaging modality and magnetic resonance imaging (MRI) and echocardiography commonly invoked for problem solving or follow-up. This chapter focuses on CT and MRI protocols, lesion characteristics, and diagnostic challenges for both IMH and PAU.

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Authors and Affiliations

  1. Department of Diagnostic Imaging, Rhode Island Hospital, Warren Alpert School of Medicine of Brown University, Providence, RI, USA

    Zachary Hartley-Blossom, Saurabh Agarwal & Michael K. Atalay

Authors
  1. Zachary Hartley-Blossom
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  2. Saurabh Agarwal
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  3. Michael K. Atalay
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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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Hartley-Blossom, Z., Agarwal, S., Atalay, M.K. (2021). Imaging of Intramural Hematoma and Penetrating Atherosclerotic Ulcer by CT and MRI. 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_11

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  • DOI: https://doi.org/10.1007/978-3-030-66668-2_11

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