title: Where's the flap?
abstract: 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.
authors.affiliation: Division of Cardiology, New York Methodist Hospital, Brooklyn, New York 11215, USA. heitn001@mc.duke.edu
authors.forename: John
authors.initials: J
authors.lastname: Heitner
authors.forename: Mat
authors.initials: M
authors.lastname: Lotfi
authors.forename: J Kevin
authors.initials: JK
authors.lastname: Harrison
authors.forename: Christopher
authors.initials: C
authors.lastname: Cabell
authors.forename: Igor
authors.initials: I
authors.lastname: Klem
authors.forename: Lesan
authors.initials: L
authors.lastname: Banko
authors.forename: Raymond J
authors.initials: RJ
authors.lastname: Kim
authors.forename: Robert M
authors.initials: RM
authors.lastname: Califf
mesh_terms: 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