Misdiagnosed Aortic Intramural Hematoma and the Role of Intravascular Ultrasound Imaging in Detection of Acute Aortic Syndrome: A Case Report
Acute aortic syndrome includes classic aortic dissection, aortic intramural hematoma, and penetrating atherosclerotic ulcer – a group of conditions that are defined by their dynamic evolution and similar clinical manifestation. Accurate diagnosis and prompt treatment are essential as all the aforeme...
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doaj-4771523c826f4d2db5ba1f6f96fedac22020-11-24T21:11:57ZengCompuscriptCardiovascular Innovations and Applications2009-86182009-87822018-01-012444744910.15212/CVIA.2017.0028Misdiagnosed Aortic Intramural Hematoma and the Role of Intravascular Ultrasound Imaging in Detection of Acute Aortic Syndrome: A Case ReportNiya Mileva, MD0Dobrin Vassilev, MD, PhD1Robert Gil, MD, PhD2Gianluca Rigatelli, MD, PhD3Cardiology Clinic, “Alexandrovska” University Hospital, Medical University of Sofia, “St. George Sofiiski” Str. 1, 1431 Sofia, BulgariaCardiology Clinic, “Alexandrovska” University Hospital, Medical University of Sofia, “St. George Sofiiski” Str. 1, 1431 Sofia, BulgariaMossakowski Medical Research Centre, Polish Academy of Sciences, Warsaw, Poland; and Department of Invasive Cardiology, Central Clinical Hospital of the Ministry of the Interior, Warsaw, PolandCardiovascular Diagnosis and Endoluminal Interventions, Section of Adult Congenital Heart Interventions, Rovigo General Hospital, Rovigo, ItalyAcute aortic syndrome includes classic aortic dissection, aortic intramural hematoma, and penetrating atherosclerotic ulcer – a group of conditions that are defined by their dynamic evolution and similar clinical manifestation. Accurate diagnosis and prompt treatment are essential as all the aforementioned conditions are a significant threat to a patient’s life. However, acute aortic syndrome and especially aortic intramural hematoma may be challenging diagnostic problems. Intravascular ultrasound imaging is a diagnostic method that can be useful for more thorough evaluation of the aortic lesion and can particularly aid in discerning the different forms of acute aortic syndrome. We present a case of a patient with aortic intramural hematoma that was missed by conventional imaging studies but was successfully visualized with intravascular ultrasound imaging.http://www.ingentaconnect.com/content/cscript/cvia/2018/00000002/00000004/art00008acute aortic syndromeaortic dissectionaortic intramural hematomapenetrating atherosclerotic ulcerintravascular ultrasound imaging |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Niya Mileva, MD Dobrin Vassilev, MD, PhD Robert Gil, MD, PhD Gianluca Rigatelli, MD, PhD |
spellingShingle |
Niya Mileva, MD Dobrin Vassilev, MD, PhD Robert Gil, MD, PhD Gianluca Rigatelli, MD, PhD Misdiagnosed Aortic Intramural Hematoma and the Role of Intravascular Ultrasound Imaging in Detection of Acute Aortic Syndrome: A Case Report Cardiovascular Innovations and Applications acute aortic syndrome aortic dissection aortic intramural hematoma penetrating atherosclerotic ulcer intravascular ultrasound imaging |
author_facet |
Niya Mileva, MD Dobrin Vassilev, MD, PhD Robert Gil, MD, PhD Gianluca Rigatelli, MD, PhD |
author_sort |
Niya Mileva, MD |
title |
Misdiagnosed Aortic Intramural Hematoma and the Role of Intravascular Ultrasound Imaging in Detection of Acute Aortic Syndrome: A Case Report |
title_short |
Misdiagnosed Aortic Intramural Hematoma and the Role of Intravascular Ultrasound Imaging in Detection of Acute Aortic Syndrome: A Case Report |
title_full |
Misdiagnosed Aortic Intramural Hematoma and the Role of Intravascular Ultrasound Imaging in Detection of Acute Aortic Syndrome: A Case Report |
title_fullStr |
Misdiagnosed Aortic Intramural Hematoma and the Role of Intravascular Ultrasound Imaging in Detection of Acute Aortic Syndrome: A Case Report |
title_full_unstemmed |
Misdiagnosed Aortic Intramural Hematoma and the Role of Intravascular Ultrasound Imaging in Detection of Acute Aortic Syndrome: A Case Report |
title_sort |
misdiagnosed aortic intramural hematoma and the role of intravascular ultrasound imaging in detection of acute aortic syndrome: a case report |
publisher |
Compuscript |
series |
Cardiovascular Innovations and Applications |
issn |
2009-8618 2009-8782 |
publishDate |
2018-01-01 |
description |
Acute aortic syndrome includes classic aortic dissection, aortic intramural hematoma, and penetrating atherosclerotic ulcer – a group of conditions that are defined by their dynamic evolution and similar clinical manifestation. Accurate diagnosis and prompt treatment are essential as all the aforementioned conditions are a significant threat to a patient’s life. However, acute aortic syndrome and especially aortic intramural hematoma may be challenging diagnostic problems. Intravascular ultrasound imaging is a diagnostic method that can be useful for more thorough evaluation of the aortic lesion and can particularly aid in discerning the different forms of acute aortic syndrome. We present a case of a patient with aortic intramural hematoma that was missed by conventional imaging studies but was successfully visualized with intravascular ultrasound imaging. |
topic |
acute aortic syndrome aortic dissection aortic intramural hematoma penetrating atherosclerotic ulcer intravascular ultrasound imaging |
url |
http://www.ingentaconnect.com/content/cscript/cvia/2018/00000002/00000004/art00008 |
work_keys_str_mv |
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