Natural history of spontaneous aortic intramural hematoma progression: Six years follow-up with cardiovascular magnetic resonance

Journal of Cardiovascular Magnetic Resonance

Case Report

Zhaoqi Zhang¹  Jing Yu¹  Xiaohai Ma¹  Zhanming Fan¹  Lei Zhao¹ 

[1] Deptartment of Radiology, Beijing Anzhen Hospital, Capital Medical University, 100029, Beijing, China;

关键词: Cardiovascular Magnetic Resonance;    Aortic Aneurysm;    Aortic Dissection;    Aortic Arch Aneurysm;    Penetrate Atherosclerotic Ulcer;   

DOI  :  10.1186/1532-429X-12-27

 received in 2009-12-07, accepted in 2010-05-13,  发布年份 2010

来源: Springer

【 摘 要 】

We described a 6 years follow-up of a spontaneous aortic intramural hematoma (IMH) with cardiovascular magnetic resonance (CMR) examination. Since multiple factors may play roles in the natural history of IMH, the patient experienced the course of progression, which included hematoma absorption, ulcer-like lesion, aneurysm and limited dissection. The initial and follow-up CMR examination included 3D CE MRA and non-enhanced "bright blood" pulse sequence. The inherent advantage of outstanding contrast with plain scan, which shorten the scan time and avoid potential risk of contrast agent, might make the fast gradient echo sequence as an alternative method when following stable IMH.

【 授权许可】

CC BY   
© Ma et al; licensee BioMed Central Ltd. 2010