Goldberg Joshua B, Kim Joon Bum, Sundt Thoralf M
Division of Cardiac Surgery, Department of Surgery, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts.
Division of Cardiac Surgery, Department of Surgery, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts.
Semin Thorac Cardiovasc Surg. 2014 Summer;26(2):123-31. doi: 10.1053/j.semtcvs.2014.07.003. Epub 2014 Jul 16.
Intramural hematoma is the most enigmatic of the 3 lethal entities comprising acute aortic syndrome. Despite being identified almost 100 years ago, there is considerable controversy surrounding the definition, etiology, management, and the very existence of intramural hematoma. The following review outlines these controversies and discusses their effect on management strategies.
壁内血肿是构成急性主动脉综合征的三种致命病变中最神秘的一种。尽管它在近100年前就已被发现,但围绕壁内血肿的定义、病因、治疗以及其是否真的存在仍存在相当大的争议。以下综述概述了这些争议,并讨论了它们对治疗策略的影响。