Demonstrates the potential for spontaneous resolution of aortic intramural hematoma under medical management.
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Spontaneous resolution of aortic intramural hematoma may occur with medical management; single case leaves open broader applicability.
Aortic intramural hematoma is an acute aortic syndrome caused by hemorrhage within the aortic wall and characterized by the absence of an intimal tear and false lumen, which are the main features of classic aortic dissection. Although surgical intervention represents the standard management of type A aortic intramural hematoma, the possibility of treating some patients with medical therapy associated with serial imaging evaluations at follow-up has recently been demonstrated.
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Zanobini et al. (2006) studied this question.
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