title: Periaortic fat pad mimicking an intramural hematoma of the thoracic aorta: lessons for transesophageal echocardiography.
abstract: We report a patient whose clinical and echocardiographic findings were compatible with a diagnosis of aortic intramural hematoma, but magnetic resonance imaging demonstrated a prominent and localized periaortic deposit of fat as the cause of the transesophageal echocardiographic appearance. This is a significant caveat that must be borne in mind when interpreting echocardiographic images obtained in patients with suspected intramural aortic hematomas.
authors.affiliation: Department of Cardiology, University of Wales College of Medicine, Heath Park, Cardiff.
authors.forename: A A
authors.initials: AA
authors.lastname: Ionescu
authors.forename: D
authors.initials: D
authors.lastname: Vinereanu
authors.forename: A
authors.initials: A
authors.lastname: Wood
authors.forename: A G
authors.initials: AG
authors.lastname: Fraser
mesh_terms: D000273:Adipose Tissue / Q000000981:diagnostic imaging* / Q000473:pathology; D000784:Aortic Dissection / Q000000981:diagnostic imaging; D001013:Aorta, Thoracic; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging; D001018:Aortic Diseases / Q000000981:diagnostic imaging*; D003937:Diagnosis, Differential; D017548:Echocardiography, Transesophageal; D006406:Hematoma / Q000000981:diagnostic imaging*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged