Annales de cardiologie et d'angéiologie
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Ann Cardiol Angeiol (Paris) · Feb 2011
Case Reports[Intramural hematoma of the thoracic aorta: Medical treatment or surgery?].
Intramural hematoma (IMH) of the aorta is an uncommon entity. This disease shares many characteristics with acute aortic dissection. Treatment of IMH remains controversial. ⋯ Transoesophageal echocardiography showed IMH involving the descending aorta which spread afterwards to the ascending aorta. Patient was treated medically and echocardiographic follow-up showed that aortic hematoma remains stable. Two years later, patient is alive and the last TEE reveals disappearance of hematoma in ascending aorta and decrease of it in descending aorta.