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- W2945585612 abstract "There is a variety of partly overlapping or even merging acute aortic diseases summarized as acute aortic syndrome, that is, aortic dissection (AD), intramural hematoma (IMH) and penetrating aortic ulcer (PAU) IMH is a disease of the media and defined as aortic wall thickening >5 mm caused by hemorrhage into the media layer without a detectable flow within the media, and without noticeable communications between the layers in the majority of cases (1). Nevertheless, one should be aware that a primary entry tear exists (even though it is not detectable on CTA) and a ruptured atherosclerotic plaque indicates the initial site of IMH (2). Furthermore, PAU is characterized by an atherosclerotic plaque rupture resulting in exposure of the media to varying extent and depth (3). While there is an increasing understanding of the most frequent aortic pathologies such as AD and aortic aneurysms, evidence for the natural course as well as the appropriate treatment of IMH or PAU is rare." @default.
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- W2945585612 date "2019-07-01" @default.
- W2945585612 modified "2023-10-18" @default.
- W2945585612 title "Type B intramural hematoma and descending penetrating aortic ulcer" @default.
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- W2945585612 doi "https://doi.org/10.21037/acs.2019.04.09" @default.
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