Aortic Intramural Hematoma
It’s clear that plenty of people are indeed ‘thinking aorta’. It is a diagnosis that seems to haunt us all - Iain Beardsell
HWN Suggests
Aortic Intramural Hematoma and Its Complications
Intramural hematoma (IMH) is a life-threatening aortic disease included within acute aortic syndrome, together with aortic dissection and penetrating aortic ulcer (PAU).2,3 IMH is a contained aortic wall hematoma with bleeding within the media but without initial intimal flap formation (Figure 2).3 Its natural history is variable; it may be reabsorbed without any intervention, or it may progress to classic aortic dissection, with outward aortic rupture observed in 15% to 20% of patients.
Articles of Interest
Diagnosing Aortic Intramural Hematoma: Current Perspectives
AIH accounts for up to one third of patients with AAS. Classically it has been defined as a type of classic aortic dissection without an entrance tear.
Intramural Hematoma of the Aorta
Aortic intramural hematoma (IMH) is a variant of overt aortic dissection. The predictors of progression of IMH to dissection and rupture are still unknown, and strategies for management are not established.
