Aortic intramural hematoma: Review of high-risk imaging features

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22 Scopus citations


Aortic intramural hematoma is among the spectrum of pathologies that comprises acute aortic syndrome and carries a risk of progression to aortic dissection, aneurysm, rupture, and other complications. Evaluation by CT can identify imaging features associated with higher risk of complications. Ulcer-like projections, enlarged aortic diameter, increased hematoma thickness, and Stanford type A classification are associated with progression to complications. The significance of intramural blood pools within the hematoma and associated pleural/pericardial effusions is less certain. Detailed evaluation of intramural hematoma with CT can provide critical prognostic information with implications for patient management.

Original languageEnglish (US)
Pages (from-to)267-272
Number of pages6
JournalJournal of cardiovascular computed tomography
Issue number4
StatePublished - Jul 1 2013


  • Aortic disease
  • Aortic intramural hematoma
  • Noninvasive cardiovascular imaging

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine


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