• Clinical cardiology · May 1996

    Case Reports

    Intramural hematoma of the aorta caused by a penetrating atheromatous ulcer.

    • S Wann, M Jaff, G Dorros, and C Sampson.
    • Cardiovascular Magnetic Resonance Research Unit, St. Luke's Medical Center, Milwaukee, Wisconsin, USA.
    • Clin Cardiol. 1996 May 1; 19 (5): 438-9.

    AbstractAortic dissection is a life-threatening condition which is difficult to diagnose because of its variable clinical presentation and diverse pathophysiologic manifestations. We present a case in which intramural hematoma of the thoracic aorta occurred in the absence of an intimal flap. Computed tomography and magnetic resonance imaging both showed hemorrhage in the wall of the aorta. Transesophageal echocardiography also revealed a penetrating atherosclerotic ulcer in the transverse aorta as a cause of the hematoma. A high index of clinical suspicion and a combination of diagnostic procedures resulted in proper diagnosis and successful surgical treatment.

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