Aortic intramural hematoma with rupture and concomitant acute

Am J Emerg Med · Oct 2012

Case Reports

Aortic intramural hematoma with rupture and concomitant acute myocardial infarction: diagnostic and therapeutic dilemmas.

Aortic intramural hematoma is a contained aortic wall hematoma without a demonstrable intimal flap. It is similar to aortic dissection, but the pathology and pathophysiology are different. We report a patient with a chronic descending thoracic aortic intramural hematoma presenting with acute rupture and periaortic hematoma along with concomitant acute ST-elevation myocardial infarction that proved to be catastrophic without intervention. We discuss the diagnostic and therapeutic dilemma.

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- Prashanth Panduranga, Mamatha Punjee Raja Rao, Mohammed Al-Mukhaini, Lakshmi Ratnam, and Mahmood Al-Jufaili.
- Department of Emergency Medicine, Royal Hospital, Muscat, Sultanate of Oman. mamatha_722002@yahoo.com
- Am J Emerg Med. 2012 Oct 1;30(8):1660.e5-8.
AbstractAortic intramural hematoma is a contained aortic wall hematoma without a demonstrable intimal flap. It is similar to aortic dissection, but the pathology and pathophysiology are different. We report a patient with a chronic descending thoracic aortic intramural hematoma presenting with acute rupture and periaortic hematoma along with concomitant acute ST-elevation myocardial infarction that proved to be catastrophic without intervention. We discuss the diagnostic and therapeutic dilemma.Copyright © 2012 Elsevier Inc. All rights reserved.

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Aortic intramural hematoma with rupture and concomitant acute myocardial infarction: diagnostic and therapeutic dilemmas.

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