Key result
In non-complicated intramural hematoma or penetrating atherosclerotic ulcer without significant aortic enlargement, strict control of cardiovascular risk factors and frequent follow-up imaging appears to be a safe management strategy.
Design
Review
Authors
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Supports conservative management with surveillance in selected cases; leaves open need for prospective validation.
This review outlines the pathophysiological differences, imaging characteristics, and risk stratification strategies for managing intramural hematoma and penetrating atherosclerotic ulcers of the descending aorta.
Evangelista et al. (2019) conducted a review in Intramural hematoma and penetrating atherosclerotic ulcer. Medical management vs surgical/endovascular treatment was evaluated. In non-complicated intramural hematoma or penetrating atherosclerotic ulcer without significant aortic enlargement, strict control of cardiovascular risk factors and frequent follow-up imaging appears to be a safe management strategy.
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