0000000000292417
AUTHOR
Violetta Moscaritolo
Evidence of intimal tear in type A intramural hematoma of the aorta: A case series
Highlights • We report two cases of type A intramural hematoma of the aorta. • We found radiological and intraoperative evidence of an intimal tear. • This finding supports the hypotesis that IMH belong to “aortic dissection” disease.
Radiologic and Intraoperative Finding of Intimal Tear in Type A Intramural Hematoma of the Aorta
AbstractAortic 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.