Kanaan Tayseer, Abdelrahman Ahmed S, Jaber Jihad, Fahmi Amr M, Almasalmeh Awad, Alnakawa Soliena, Kanaan Tala
Cardiology, Hamad Medical Corporation, Doha, QAT.
Pharmacy, Hamad Medical Corporation, Doha, QAT.
Cureus. 2023 Jan 3;15(1):e33300. doi: 10.7759/cureus.33300. eCollection 2023 Jan.
Intramural hematoma (IMH) is considered a part of acute aortic syndromes (AAS), a group of life-threatening aortic diseases with a similar presentation that appears to have different clinical manifestations and pathological and survival characteristics. AAS comprises three major entities, namely, aortic dissection (AD), IMH, and PAU. IMH-like classic AD is classified using Stanford and DeBakey classification systems to indicate the aortic area involved. Early diagnosis and treatment of AAS are crucial for survival; however, diagnosis of IMH may be delayed and challenging due to atypical presentation, investigation findings, and case progression. In this report, we describe a case of delayed and challenging diagnosis of a Stanford type A IMH that was managed surgically with a good outcome.
壁内血肿（IMH）被认为是急性主动脉综合征（AAS）的一部分，急性主动脉综合征是一组危及生命的主动脉疾病，其临床表现相似，但似乎具有不同的临床表现、病理和生存特征。急性主动脉综合征包括三个主要类型，即主动脉夹层（AD）、壁内血肿和穿透性粥样硬化性溃疡（PAU）。与典型主动脉夹层一样，壁内血肿也使用斯坦福和德巴基分类系统进行分类，以表明受累的主动脉区域。急性主动脉综合征的早期诊断和治疗对生存至关重要；然而，由于表现不典型、检查结果及病例进展情况，壁内血肿的诊断可能会延迟且具有挑战性。在本报告中，我们描述了一例诊断延迟且具有挑战性的A型斯坦福壁内血肿病例，该病例通过手术治疗，效果良好。
