[HSF] intramural hematoma

[Giulio Rizzoli]

For those who doubt that an intramural hematoma is alike aortic dissection
I want to show the images of the last case (78 
y/o) I operated on with a modified Bentall.
27° , axillary artery and left carotid perfusion trough exposed arch.
There was no trace of dissection at angio but a 
very thickened aortic wall at CT scan.
I show the appearance at pericardiectomy, 
identical to that of a dissection and the clots 
sandwich between media and adventitia.
                                                                               Giulio 
Rizzoli, Padova Italy

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Giulio Rizzoli MD FETCS
Cardiochirurgia Padova
tel. 049 821-2408
fax 049 821-2409
e-mail giulio.rizzoli at unipd.it