Publication: Computed tomography of aortic intramural hematoma and thrombosed dissection
Issued Date
2010-10-01
Resource Type
ISSN
02184923
Other identifier(s)
2-s2.0-78651244532
Rights
Mahidol University
Rights Holder(s)
SCOPUS
Bibliographic Citation
Asian Cardiovascular and Thoracic Annals. Vol.18, No.5 (2010), 456-463
Suggested Citation
Thanongchai Siriapisith, Jitladda Wasinrat, Worawong Slisatkorn Computed tomography of aortic intramural hematoma and thrombosed dissection. Asian Cardiovascular and Thoracic Annals. Vol.18, No.5 (2010), 456-463. doi:10.1177/0218492310380473 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/29506
Research Projects
Organizational Units
Authors
Journal Issue
Thesis
Title
Computed tomography of aortic intramural hematoma and thrombosed dissection
Other Contributor(s)
Abstract
A retrospective study was undertaken to evaluate the appearance of the aortic wall on computed tomography for the purpose of developing criteria for differentiating acute aortic intramural hematoma from thrombosed false lumen seen in aortic dissection. Computed tomography angiography findings of the thoracoabdominal aorta in 23 patients with suspected intramural hematoma and 25 with thrombosed false lumen were reviewed. The more common features of an intramural hematoma were hyperattenuation of the aortic wall, wall thickness less than a quarter of the aortic diameter, intrinsic wall calcification, a lesion extending around the entire aortic circumference, and ulcer-like projections that may be precursors of intramural hematoma. Wall thickness less than a quarter of the aortic diameter, lesion extending around the entire aortic circumference, and ulcer-like projections were the most useful indicators for distinguishing intramural hematoma from the thrombosed false lumen in aortic dissection. © SAGE Publications 2010.