CTICasesAcute Stanford Type A aortic intramural hematoma
Imaging findings
Non-contrast and contrast-enhanced CT show a high-attenuation Crescentic thickening of the ascending aortic wall (intramural hematoma), associated with blood tracking along the right coronary artery and a hemopericardium.
Key takeaways
An aortic intramural hematoma of the ascending aorta is a variant of acute aortic syndrome. The presence of a hemopericardium indicates leakage or impending rupture, necessitating emergency surgical management.
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