主動脈根部前壁壁內小血腫心臟血管專科：主動脈根部前壁壁內小血腫的診斷與治療建議-心臟血管專科

主動脈根部前壁壁內小血腫？

請問醫生主動脈根部前壁壁內小血腫會怎樣，這是我的電腦斷層檢查出來的，CT scan of chest with CTA showed that ＞ Focal wall thickening was seen in anterior DDx: of aortic root (ser602 img28). The suspected lesion was constantly seen in pre contrast study (ser4 img8, ser5 mg40, ser7 img39). DDx: intramural hematoma, motion artifact. Recommend echocardiography F/U. ＞ No definite intimal flap was detected in ascending aorta and descending aorta ＞ Both lungs were normally aerated and were applied to the chest wall on all sides. There was no sign of circumscribed pleural thickening and no fluid collection. There were no intrapulmonary nodules or patchy opacities. ＞ The mediastinum showed normal appearance without abnormal lymphadenopathy. ＞ The heart was orthotopic with normal configuration. The cardiac chambers were of normal size. ＞ Major intrathoracic vessels and imaged portions of the supra-aortic vessels were unremarkable. ＞ The thoracic skeleton and thoracic soft tissues showed no abnormalities. ＞ No definite enhanced lesion in liver, pancreas, spleen and kidneys. ＞ S/P ORIF of L’t. femoral neck. In conclusion: Suspected small intramural hematoma at anterior wall of aortic root, echocardiography was recommended. Otherwise, no definite evidence of aortic dissection. 請問這是怎么意思這個是心臟超音波看起來嚴重嗎Anatomy Contractility Relaxation AO root:24 (20-37 mm)LVEF MV E/A : / cm/s LA: 37 (19-40 mm) M-mode: 58 % (＞50%) E dece.time: ms IVS: 9 (7-12 mm) 2D-Simpson: % (＞50%) IRT: ms LVEDD: 51 (35-52 mm)RWMA LVPW: 8 (8-12 mm) Nil Nil lateral E’/A’: / cm/s LVESD: 35 (20-35 mm) Nil Nil medial E’/A’: / cm/s RA: Normal Nil Nil E/E’: RV: Normal 　Mitral valve Structure MV Prolapse: Nil MR Mild MRA: LAA: cm2 PISA: cm MS Nil MVA(2D): cm2 Mean-PG: mmHg MVA(Doppler): cm2 　Aortic valve Structure AR Nil Reverse flow: P1/2t: ms AS Nil AVA(2D): cm2 Mean-PG: mmHg AVA(ContinuityE.): cm2 Max-PG: mmHg 　Pulmonary valve Structure Pul flow accele.Time:: ms PR Nil PS Nil Max-PG: mmHg 　Tricuspid valve TR Mild Max-PG: mmHg TS Nil 　Other Pericardial effusion Nil Other1 Nil Other2 LA or LV thrombus Nil Other3 Conclusion: 1.Normal cardiac chamber size 2.Normal wall thickness 3.preserved L.V. contractility 4.Mild mitral regurgitation、Mild Tricuspid regurgitation，醫生我運動心電圖也缺血陽性要怎麼治療，要住院開刀嗎