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European Journal of Nuclear Medicine and Molecular Imaging
Published in: European Journal of Nuclear Medicine and Molecular Imaging 8/2012

01-08-2012 | Image of the Month

Acute intramural haematoma of the ascending aorta

Authors: L. Govaerts, N. Withofs, R. Durieux, V. Spote, R. Hustinx

Published in: European Journal of Nuclear Medicine and Molecular Imaging | Issue 8/2012

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Excerpt

A 77-year-old man with a history of mantle cell lymphoma underwent a FDG PET/CT to explore fever and chest pain. A diffuse high FDG uptake is seen within the wall of the enlarged ascending aorta extending from the aortic valve to the brachiocephalic, right subclavian and left common carotid arteries. A photopenic area in the ascending aorta, best seen on the coronal view, suggests the presence of an intramural haematoma. The study is thus consistent with the diagnosis of acute intramural haematoma of the ascending aorta, which was confirmed by echo Doppler, angio-CT and histological examination. …
Literature
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Chao CP, Walker TG, Kalva SP. Natural history and CT appearances of aortic intramural hematoma. Radiographics. 2009;29(3):791–804.PubMedCrossRef
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Ryan A, McCook B, Sholosh B, Pryma DA, Jablonowski E, Fuhrman C, et al. Acute intramural hematoma of the aorta as a cause of positive FDG PET/CT. Clin Nucl Med. 2007;32(9):729–31.PubMedCrossRef
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Kuehl H, Eggebrecht H, Boes T, Antoch G, Rosenbaum S, Ladd S, et al. Detection of inflammation in patients with acute aortic syndrome: comparison of FDG-PET/CT and serological markers of inflammation. Heart. 2008;94(11):1472–7.PubMedCrossRef
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Kato K, Nishio A, Kato N, Usami H, Fujimaki T, Murohara T. Uptake of 18F-FDG in acute aortic dissection: a determinant of unfavorable outcome. J Nucl Med. 2010;51(5):674–81.PubMedCrossRef
Metadata
Title
Acute intramural haematoma of the ascending aorta
Authors
L. Govaerts
N. Withofs
R. Durieux
V. Spote
R. Hustinx
Publication date
01-08-2012
Publisher
Springer-Verlag
Published in
European Journal of Nuclear Medicine and Molecular Imaging / Issue 8/2012
Print ISSN: 1619-7070
Electronic ISSN: 1619-7089
DOI
https://doi.org/10.1007/s00259-012-2130-z

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