Where's the flap?
We present a case of aortic intramural hematoma (IMH) in an elderly woman who presented with sudden onset of mid-scapular pain. The patient underwent a series of multimodality imaging studies before the diagnosis of IMH was evident by cardiovascular magnetic resonance, which is rapidly becoming the gold standard in the evaluation of acute aortic disease due to its high spatial resolution and ability to characterize tissue composition. Early diagnosis and prompt treatment is critical in improving the outcome of patients with IMH.
Heitner
John
J
Division of Cardiology, New York Methodist Hospital, Brooklyn, New York 11215, USA. heitn001@mc.duke.edu
Lotfi
Mat
M
Harrison
J Kevin
JK
Cabell
Christopher
C
Klem
Igor
I
Banko
Lesan
L
Kim
Raymond J
RJ
Califf
Robert M
RM
D000368:Aged; D001013:Aorta, Thoracic; D001018:Aortic Diseases / Q000175:diagnosis* / Q000628:therapy; D003937:Diagnosis, Differential; D005260:Female; D006406:Hematoma / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods*; D015607:Stents