Aortic intramural hematoma. All-in-one complications

Biomarkers in aortic dissection, including specific causes of troponin elevation

“…The average DD increased from DeBakey class II AoD, over class III, to class I AoD (r = 0.63; p < 0.01) 51 . DD decreased with longer duration from the onset of symptoms, allowing the differentiation of acute from chronic AoD 30,52,53 .…”

“…During in-hospital treatment of AoD, the coagulation cascade could be activated by aortic injury, prolonged bed rest, and hemoconcentration, due to increased vascular permeability, as the result of inflammatory response. Serial measurements of DD can be used for early detection of re-AoD or venous thromboembolism (VTE) during in-hospital management of Stanford type B AoD 53 .…”

<p>Diagnosing Aortic Intramural Hematoma: Current Perspectives</p>

“…In patients with AIH, this re-elevation may indicate transformation into a classic AD, the extension of damage, the formation of new ulcer-like lesions or the enlargement of previous ones. 34,35 D-dimer re-elevation could also be related to the thrombotic process, such as deep vein thrombosis or pulmonary embolism that sometimes appear as complications of the process. 35,36 D-dimer has also proved to have an association with prognosis, not only the level at admission, but also measurements during hospitalization.…”

“…34,35 D-dimer re-elevation could also be related to the thrombotic process, such as deep vein thrombosis or pulmonary embolism that sometimes appear as complications of the process. 35,36 D-dimer has also proved to have an association with prognosis, not only the level at admission, but also measurements during hospitalization. 30 Then, higher levels of D-dimer at admission and during in-hospital follow-up are associated with a worse prognosis and higher mortality.…”

“…21,56 One of the main characteristics of AIH is its evolving nature. 35,49 It is hard to make predictions about the evolution of the AIH in a particular patient. Therefore, performing serial control CT scans during hospitalization and follow-up after discharge will be essential.…”