Pathologic Characteristics and Surgical Indications of Superacute Type A Intramural Hematoma  Keiji Uchida, MD, Kiyotaka Imoto, MD, PhD, Masato Takahashi,

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Pathologic Characteristics and Surgical Indications of Superacute Type A Intramural Hematoma  Keiji Uchida, MD, Kiyotaka Imoto, MD, PhD, Masato Takahashi, MD, PhD, Shin-ichi Suzuki, MD, PhD, Susumu Isoda, MD, PhD, Mitsugi Sugiyama, MD, PhD, Jiro Kondo, MD, PhD, Yoshinori Takanashi, MD, PhD  The Annals of Thoracic Surgery  Volume 79, Issue 5, Pages 1518-1521 (May 2005) DOI: 10.1016/j.athoracsur.2004.11.017 Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Classic computed tomographic findings. (AAD = acute aortic dissection [right]; IMH = intramural hematoma [left].) The Annals of Thoracic Surgery 2005 79, 1518-1521DOI: (10.1016/j.athoracsur.2004.11.017) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Histopathologic findings of aortic wall in intramural hematoma. The site of the dissection in the media was expressed as the thickness of the residual media of the adventitia side. (Elastica-van Gieson stain, ×40 before reduction.) The Annals of Thoracic Surgery 2005 79, 1518-1521DOI: (10.1016/j.athoracsur.2004.11.017) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Histopathologic findings of aortic wall in acute aortic dissection. The site of the dissection in the media was expressed as the thickness of the residual media of the adventitia side. (Hematoxylin and eosin stain, ×40 before reduction.) The Annals of Thoracic Surgery 2005 79, 1518-1521DOI: (10.1016/j.athoracsur.2004.11.017) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Schema of development of dissection. (AAD = acute aortic dissection [bottom]; IMH = intramural hematoma [top].) The Annals of Thoracic Surgery 2005 79, 1518-1521DOI: (10.1016/j.athoracsur.2004.11.017) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions