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Dtsch. Med. Wochenschr. · Apr 2000
Case Reports[Diagnosis and therapy of an intramural hematoma of the ascending aorta].
- S Lenferink and U Sechtem.
- Abteilung Innere Medizin III, Schwerpunkt Kardiologie und Pulmologie, Robert-Bosch-Krankenhaus, Stuttgart.
- Dtsch. Med. Wochenschr. 2000 Apr 20;125(16):489-92.
History And Clinical FindingsA 79 year-old female presented with severe chest pain and shortness of breath.InvestigationsThe chest X-ray showed a widened mediastinum and a small left-sided pleural effusion. Transesophageal echocardiography demonstrated not only dilatation of the ascending aorta and aortic regurgitation but also an echo-poor crescentic seam within the aortic wall. Computed tomography identified this structure as an intramural hematoma.Treatment And CourseThe aortic valve and the ascending aorta were replaced.ConclusionAn intramural hematoma of the ascending aorta may be difficult to recognize but it is a life-threatening condition and should be treated by prompt surgical repair.
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