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主动脉A型壁内血肿内膜撕裂的影像学及术中表现

Radiologic and Intraoperative Finding of Intimal Tear in Type A Intramural Hematoma of the Aorta.

作者信息

Filippone Gianfranco, Caruana Giovanni, Moscaritolo Violetta, Vacirca Sara Rita, Argano Vincenzo

机构信息

Unit of Cardiac Surgery, University of Palermo, Palermo, Italy.

Department of Radiology, University of Palermo, Palermo, Italy.

出版信息

Aorta (Stamford). 2018 Jun;6(3):92-93. doi: 10.1055/s-0039-1678569. Epub 2019 Feb 22.

DOI:10.1055/s-0039-1678569
PMID:30795034
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6386642/
Abstract

Aortic 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.

摘要

主动脉壁内血肿（IMH）被描述为“无内膜撕裂的夹层”，这是由于滋养血管破裂，导致在没有内膜破裂或血流相通的情况下中膜内出血。我们研究的目的是验证IMH患者围手术期内膜入口撕裂的证据，并提示这一实体可能代表一种疾病的一部分，而非一种单独的疾病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6853/6386642/c08cbfeb03be/10-1055-s-0039-1678569-i170065-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6853/6386642/74acfa6e3a76/10-1055-s-0039-1678569-i170065-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6853/6386642/c08cbfeb03be/10-1055-s-0039-1678569-i170065-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6853/6386642/74acfa6e3a76/10-1055-s-0039-1678569-i170065-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6853/6386642/c08cbfeb03be/10-1055-s-0039-1678569-i170065-2.jpg

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Quant Imaging Med Surg. 2020 Jul;10(7):1504-1514. doi: 10.21037/qims-20-191.

本文引用的文献

1
Emerging Concepts in Intramural Hematoma Imaging.壁内血肿成像的新观念
Radiographics. 2016 May-Jun;36(3):660-74. doi: 10.1148/rg.2016150094.
2
Timing is everything.
J Thorac Cardiovasc Surg. 2016 Feb;151(2):374-5. doi: 10.1016/j.jtcvs.2015.10.011. Epub 2015 Oct 9.
3
Intramural haematoma should be referred to as thrombosed-type aortic dissection.应将壁内血肿称为血栓型主动脉夹层。
Eur J Cardiothorac Surg. 2013 Aug;44(2):366-9; discussion 369. doi: 10.1093/ejcts/ezt040. Epub 2013 Mar 20.