Ann Thorac Surg 2008;86:456-457. doi:10.1016/j.athoracsur.2008.04.079
© 2008 The Society of Thoracic Surgeons
Original Articles: Adult Cardiac
Invited Commentary
Eugenio Neri, MD
Unità Operativa di Chirurgia dell'Aorta Toracica, Policlinico "Santa Maria alle Scotte", Viale M. Bracci, Siena, 53100 Italy
(Email: euxneri@tin.it; nerie@unisi.it).
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Although many consider intramural hematoma (IMH) to be a variant of aortic dissection, the pathogenesis still remains unclear. First described by Krukenberg [1] in 1920, IMH is defined as bleeding into the outer layers of the aortic media from rupture of the vasa-vasorum without a primary intimal tear. Despite the increased in vivo recognition of IMH, an aura of uncertainty and mystery surrounds this clinical entity [2]. However, this . . . [Full Text of this Article]
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Copyright © 2008 by The Society of Thoracic Surgeons.