首页> 外文期刊>Journal of computer assisted tomography >Spontaneous progression of ascending aortic intramural hematoma to Stanford type A dissection fortuitously witnessed during an MR examination.
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Spontaneous progression of ascending aortic intramural hematoma to Stanford type A dissection fortuitously witnessed during an MR examination.

机译:在MR检查中偶然地观察到升主动脉壁内血肿自发发展为Stanford A型解剖。

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摘要

Aortic 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.
机译:主动脉壁内血肿可能是原发事件(无内膜瓣的自然剥离)或继发于穿透性动脉粥样硬化性溃疡。由于公布的数据有限,升主动脉壁内血肿的处理尚存在争议,但一些中心主张尽早进行手术干预。我们描述了一名患有升主动脉壁内血肿的患者,该患者在MR检查期间发展为经典的交通夹层。该病例以图形方式说明升主动脉壁内血肿患者的潜在不稳定性。

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