title: Aortic intramural hematoma presenting as angina.
abstract: We present a case of intramural hematoma initially misdiagnosed as angina, and requiring myocardial revascularization. Angiography failed to lead to the proper diagnosis and the original transesophageal echocardiogram was misinterpreted as showing an intimal flap that was actually an echocardiographic artifact. The echocardiographic characteristics and implications of this entity are reviewed.
authors.affiliation: Department of Anesthesiology, University of Southern California, School of Medicine, USA.
authors.forename: S M
authors.initials: SM
authors.lastname: Haddy
authors.forename: E
authors.initials: E
authors.lastname: Moore-Jeffries
authors.forename: V A
authors.initials: VA
authors.lastname: Starnes
mesh_terms: D000368:Aged; D000784:Aortic Dissection / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D000789:Angina, Unstable / Q000175:diagnosis*; D001014:Aortic Aneurysm / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D016477:Artifacts; D003937:Diagnosis, Differential; D018618:Echocardiography, Doppler, Color; D017548:Echocardiography, Transesophageal; D006406:Hematoma / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D009204:Myocardial Revascularization; D005996:Nitroglycerin / Q000627:therapeutic use; D014665:Vasodilator Agents / Q000627:therapeutic use
chemical_list: D014665:Vasodilator Agents; D005996:Nitroglycerin