SciELO - Scientific Electronic Library Online

vol.18Role of ambulation to prevent venous thromboembolism in medical patients: where do we stand?Effects of probiotics on the lipid profile: systematic review author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand




Related links


Jornal Vascular Brasileiro

Print version ISSN 1677-5449On-line version ISSN 1677-7301


PEREIRA, Adamastor Humberto. Intramural hematoma and penetrating atherosclerotic ulcers of the aorta: uncertainties and controversies. J. vasc. bras. [online]. 2019, vol.18, e20180119.  Epub July 18, 2019. ISSN 1677-5449.

The natural histories of intramural hematoma (IMH) and penetrating atherosclerotic ulcer (PAU) are highly variable as they may progress to aneurysm formation, rupture, or dissection, or even resolve, in the specific case of IMH. Imaging plays an increasingly important role in clinical and surgical management of IMH and PAU. In contrast to ulcer-like projections, images of intramural blood pools have not been widely reported in CT studies of patients with IMH. Understanding the imaging characteristics and the natural course of each of these entities would help clinicians and surgeons to identify patients at greatest risk for bad prognosis and may improve outcomes. This paper discusses the pathophysiology of these entities, the controversies regarding their natural history, and the prognostic factors that should be identified in CT scans.

Keywords : acute aortic syndrome; intramural aortic hematoma; aortic hematoma; penetrating ulcers of aorta.

        · abstract in Portuguese     · text in English | Portuguese     · English ( pdf ) | Portuguese ( pdf )