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CardioVascular and Interventional Radiology
Erschienen in: CardioVascular and Interventional Radiology 3/2019

09.11.2018 | Review

Penetrating Aortic Ulcer and Intramural Hematoma

verfasst von: Gustavo S. Oderich, Jussi M. Kärkkäinen, Nanette R. Reed, Emanuel R. Tenorio, Giuliano A. Sandri

Erschienen in: CardioVascular and Interventional Radiology | Ausgabe 3/2019

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Abstract

Acute aortic syndromes include a variety of overlapping clinical and anatomic diseases. Penetrating aortic ulcer (PAU), intramural hematoma (IMH) and aortic dissection can occur as isolated processes or can be found in association. All these entities are potentially life threatening, so prompt diagnosis and treatment is of paramount importance. PAU and IMH lesions in the Stanford Type A distribution often require urgent open surgical repair. Lesions in the Stanford Type B distribution may be managed medically in the absence of symptoms or progression; however, a low threshold for endovascular or surgical treatment should be maintained. This review summarizes the clinical presentation, epidemiology, diagnosis, indications for treatment and endovascular strategies in patients with PAU or IMH.
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Metadaten
Titel
Penetrating Aortic Ulcer and Intramural Hematoma
verfasst von
Gustavo S. Oderich
Jussi M. Kärkkäinen
Nanette R. Reed
Emanuel R. Tenorio
Giuliano A. Sandri
Publikationsdatum
09.11.2018
Verlag
Springer US
Erschienen in
CardioVascular and Interventional Radiology / Ausgabe 3/2019
Print ISSN: 0174-1551
Elektronische ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-018-2114-x

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