Intramural blood pool (aorta)

Changed by Craig Hacking, 20 Apr 2021

Updates to Article Attributes

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Intramural blood pools are seen on contrast-enhanced CTs obtained in patients with a recent intramural aortic hematoma

Radiographic features

CT

Intramural blood pool are located within the mural hematoma and either do not visibly communicate with the true lumen, or do so via only a very small (< 2 mm) ostium 1. They are most frequently located within the descending thoracic-abdominal aorta in hematomas at least 10 mm in thickness 1. Additionally, they are often associated with an adjacent intercostal artery or lumbar artery 1

Treatment and prognosis

Unlike ulcer-like projections, intramural blood pool to not adversely affect prognosis, often spontaneously regress, and require no dedicated treatment 1

  • -<p><strong>Intramural blood pools</strong> are seen on contrast-enhanced CTs obtained in patients with a recent <a href="/articles/aortic-intramural-haematoma">intramural aortic hematoma</a>. </p><h4>Radiographic features</h4><h5>CT</h5><p>Intramural blood pool are located within the mural hematoma and either do not visibly communicate with the true lumen, or do so via only a very small (&lt; 2 mm) ostium <sup>1</sup>. They are most frequently located within the descending thoracic-abdominal aorta in hematomas at least 10 mm in thickness <sup>1</sup>. Additionally, they are often associated with an adjacent intercostal artery or lumbar artery <sup>1</sup>. </p><h4>Treatment and prognosis</h4><p>Unlike <a title="Ulcer like projection (aorta)" href="/articles/ulcer-like-projection-aorta">ulcer-like projections</a>, intramural blood pool to not adversely affect prognosis, often spontaneously regress, and require no dedicated treatment <sup>1</sup>. </p>
  • +<p><strong>Intramural blood pools</strong> are seen on contrast-enhanced CTs obtained in patients with a recent <a href="/articles/aortic-intramural-haematoma">intramural aortic hematoma</a>. </p><h4>Radiographic features</h4><h5>CT</h5><p>Intramural blood pool are located within the mural hematoma and either do not visibly communicate with the true lumen, or do so via only a very small (&lt; 2 mm) ostium <sup>1</sup>. They are most frequently located within the descending thoracic-abdominal aorta in hematomas at least 10 mm in thickness <sup>1</sup>. Additionally, they are often associated with an adjacent intercostal artery or lumbar artery <sup>1</sup>. </p><h4>Treatment and prognosis</h4><p>Unlike <a href="/articles/ulcer-like-projection-aorta">ulcer-like projections</a>, intramural blood pool to not adversely affect prognosis, often spontaneously regress, and require no dedicated treatment <sup>1</sup>. </p>

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