CT: computed tomography; IMH: intramural hematoma; MR: magnetic resonance.
* For any IMH (type A or type B), high-risk features include progression to aortic dissection, increasing aortic diameter, and increasing hematoma thickness[1].¶ Anti-impulse therapy aims to reduce aortic shear stress and minimize lesion progression by reducing blood pressure and heart rate, typically initially using intravenous beta blockers.
Δ For patients who require repair of a IMH in the ascending aorta or proximal aortic arch (zones 0-1), open surgical repair is recommended. For patients who require repair of a IMH in the distal aortic arch (zones 2-3), descending thoracic aorta (zones 4,5), or abdominal aorta (zones 6,7,8,9), either open surgical repair or endovascular repair is reasonable, based on anatomy and medical comorbidities.
◊ Baseline imaging (CT/MR angiography) is obtained prior to discharge, with follow-up examinations at 3, 6, and 12 months, and annually thereafter.آیا می خواهید مدیلیب را به صفحه اصلی خود اضافه کنید؟