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KMID : 0368119940240060904
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Korean Circulation Journal
1994 Volume.24 No. 6 p.904 ~ p.909
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Two Cases Of Aortic Intramural Hematoma Diagnosed With Trasesophageal Echocardiography
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송재관
강덕현/이기만/추윤호/정상식/김재중/박성욱/박승정/이종구
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Abstract
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Aortic intramural hematoma(AIH) is known as a variant of acute dissection due to rupture of the vasa vasorum without a intimal tear. In elderly hypertensive patients with aortic dissection but without the characteristic echocardiographic
findings
of a
double-channel aorta, this disease entity should be suspected and attention should be given to find segmental wall thickening of the aorta >0.7cm. AIH may progress to typical dissection or to rupture in considerable number of the patients, so
careful
follow-up is necessary and the same management principles for the patients with dissection can be applied in tis variant. We report two cases of AIH showing typical eccentric mural thickening without dissection membrane with transesophageal
echocardiographic follow-up
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KEYWORD
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