title: Current understandings and approach to the management of aortic intramural hematomas.
abstract: Intramural hematoma is the most enigmatic of the 3 lethal entities comprising acute aortic syndrome. Despite being identified almost 100 years ago, there is considerable controversy surrounding the definition, etiology, management, and the very existence of intramural hematoma. The following review outlines these controversies and discusses their effect on management strategies.
authors.affiliation: Division of Cardiac Surgery, Department of Surgery, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts.
authors.forename: Joshua B
authors.initials: JB
authors.lastname: Goldberg
authors.affiliation: Division of Cardiac Surgery, Department of Surgery, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts.
authors.forename: Joon Bum
authors.initials: JB
authors.lastname: Kim
authors.affiliation: Division of Cardiac Surgery, Department of Surgery, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts. Electronic address: TSUNDT@mgh.harvard.edu.
authors.forename: Thoralf M
authors.initials: TM
authors.lastname: Sundt
mesh_terms: D001018:Aortic Diseases / Q000175:diagnosis / Q000401:mortality / Q000503:physiopathology / Q000628:therapy*; D003952:Diagnostic Imaging / Q000379:methods; D006406:Hematoma / Q000175:diagnosis / Q000401:mortality / Q000503:physiopathology / Q000628:therapy*; D006801:Humans; D011237:Predictive Value of Tests; D018570:Risk Assessment; D012307:Risk Factors; D016896:Treatment Outcome
keywords: acute aortic syndrome; aortic dissection; aortic surgery; intramural hematoma; penetrating aortic ulcer