{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T21:47:18Z","timestamp":1762033638793,"version":"3.41.2"},"reference-count":48,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. vasc. bras."],"abstract":"<jats:p>Resumo A hist\u00f3ria natural do hematoma intramural (HI) e da \u00falcera penetrante (UP) \u00e9 muito vari\u00e1vel, j\u00e1 que podem progredir para a forma\u00e7\u00e3o de aneurisma, ruptura, dissec\u00e7\u00e3o, e podem at\u00e9 mesmo regredir, no caso espec\u00edfico do HI. Exames de imagem t\u00eam crescente papel no manejo cl\u00ednico e operat\u00f3rio da UP e do HI. Ao contr\u00e1rio das proje\u00e7\u00f5es semelhantes a \u00falcera, achados de lagos sangu\u00edneos n\u00e3o s\u00e3o relatados nos estudos tomogr\u00e1ficos de pacientes com HI. O entendimento das caracter\u00edsticas da imagem e do curso natural de cada uma dessas entidades ajudar\u00e1 cl\u00ednicos e cirurgi\u00f5es a identificar os pacientes com maior risco para um mau progn\u00f3stico e pode melhorar os desfechos. A fisiopatologia dessas entidades, as controv\u00e9rsias no que se refere a suas hist\u00f3rias naturais e os fatores progn\u00f3sticos das imagens tomogr\u00e1ficas s\u00e3o discutidos neste artigo.<\/jats:p>","DOI":"10.1590\/1677-5449.180119","type":"journal-article","created":{"date-parts":[[2019,7,17]],"date-time":"2019-07-17T18:16:54Z","timestamp":1563387414000},"source":"Crossref","is-referenced-by-count":9,"title":["Hematoma intramural e \u00falcera penetrante da aorta: incertezas e controv\u00e9rsias"],"prefix":"10.1590","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8291-3502","authenticated-orcid":false,"given":"Adamastor Humberto","family":"Pereira","sequence":"first","affiliation":[{"name":"Universidade Federal do Rio Grande do Sul,  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