Intramural hematoma of the thoracic aorta in a woman with neurofibromatosis.
The natural history and preferred approach to patients with intramural hematoma of the aorta remains controversial. We describe herein the management of the case of a 45-year-old woman with acute onset of chest pain, intramural hematoma of the arch and proximal descending aorta, and left pleural effusion. In this particular case, a nonsurgical approach led to complete recovery of the patient and documented resolution of the hematoma.
Ali
Omar A
OA
University of Massachusetts-Memorial Medical Center, Worcester 01655, USA. oali23@aol.com
Okike
Nsidinanya
N
Hogan
Robert G
RG
Becker
Richard C
RC
D001013:Aorta, Thoracic; D001018:Aortic Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D017548:Echocardiography, Transesophageal; D005260:Female; D006406:Hematoma / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008875:Middle Aged; D017253:Neurofibromatoses / Q000150:complications*; D010996:Pleural Effusion / Q000000981:diagnostic imaging / Q000209:etiology; D014057:Tomography, X-Ray Computed