Key result
Two cases of ascending aortic intramural hematoma presenting with cardiac tamponade were managed with different treatment strategies tailored to individual risk factors.
Case Report (n=2)
Highlights that treatment strategies for ascending aortic intramural hematoma with cardiac tamponade can be individualized based on patient risk factors.
May support individualized strategies in select cases of ascending aortic intramural hematoma with tamponade; hypothesis-generating and leaves optimal management open for prospective study.
Aortic intramural hematoma (IMH) is classically defined as a variation of aortic dissection where blood collects within the aortic media without the presence of an intimal flap. Ascending IMH is known to have worse clinical outcomes than IMH of the descending aorta or aortic arch. Therefore, some patients with higher risk of disease progression require surgical corrections. However, the indications and the benefits of surgical management of ascending IMH, compared with medical treatment only, have not yet been established. We present two cases of IMH in the ascending aorta that presented with cardiac tamponade; patients were treated differently according to risk factors.
No takes yet. Share an insight, caveat, or question.
Kim et al. (2012) conducted a case report in Ascending aortic intramural hematoma with cardiac tamponade (n=2). Different treatment strategies (surgical vs medical) was evaluated. Two cases of ascending aortic intramural hematoma presenting with cardiac tamponade were managed with different treatment strategies tailored to individual risk factors.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: