Clinical pathological features and current diagnosis and treatment status of aortic intramural hematoma
10.3969/j.issn.1004-8812.2024.04.007
- VernacularTitle:主动脉壁内血肿临床病理特点及诊疗现状
- Author:
Xiang-Tao QI
1
;
Hu LIU
Author Information
1. 延安大学附属医院心脏血管医学中心,陕西延安 716000
- Keywords:
Aortic intramural hematoma;
Acute aortic syndromes;
Pathogenesis
- From:
Chinese Journal of Interventional Cardiology
2024;32(4):224-227
- CountryChina
- Language:Chinese
-
Abstract:
Intramural hematoma(IMH)is a type of acute aortic syndrome,According to the Stanford classification,it can be divided into type A and type B.It is currently widely believed that its primary pathogenesis is rupture of the aortic wall vasa vasorum and aortic penetrating ulcer.Acute onset chest pain is usually the first or only symptom.It can be diagnosed through imaging examinations such as transthoracic echocardiography,transesophageal echocardiography,CT,and magnetic resonance imaging,with CT being the preferred examination.Stanford type A IMH is currently primarily treated with surgery,but there are studies and reports on drug treatment.Stanford type B IMH is generally treated primarily with medication.Currently,the complication and mortality rates of Stanford type A IMH are higher than those of type B.This article provides a comprehensive review of the pathological characteristics,diagnosis,and treatment of IMH.
