Aortic intramural hematoma with rupture and concomitant acute myocardial infarction: diagnostic and therapeutic dilemmas.
Aortic intramural hematoma is a contained aortic wall hematoma without a demonstrable intimal flap. It is similar to aortic dissection, but the pathology and pathophysiology are different. We report a patient with a chronic descending thoracic aortic intramural hematoma presenting with acute rupture and periaortic hematoma along with concomitant acute ST-elevation myocardial infarction that proved to be catastrophic without intervention. We discuss the diagnostic and therapeutic dilemma.
Department of Emergency Medicine, Royal Hospital, Muscat, Sultanate of Oman. mamatha_722002@yahoo.com
Mamatha Punjee Raja
MP
Rao
Prashanth
P
Panduranga
Mohammed
M
Al-Mukhaini
Lakshmi
L
Ratnam
Mahmood
M
Al-Jufaili
D000368:Aged; D017545:Aortic Aneurysm, Thoracic / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000628:therapy; D001019:Aortic Rupture / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000628:therapy; D004562:Electrocardiography; D004636:Emergency Service, Hospital; D017809:Fatal Outcome; D006406:Hematoma / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D014057:Tomography, X-Ray Computed