title: Type A intramural hematoma in the setting of acute type B aortic dissection.
abstract: Type A intramural hematoma (IMH) is an uncommon entity, the pathophysiology of which is thought to be related to a contained hemorrhage within the medial layer of the aorta as a result of either rupture of the vasa vasorum or an atherosclerotic plaque. We present a case of type A IMH in the setting of acute type B aortic dissection with suspicion for malperfusion syndrome and discuss the treatment algorithm of this uncommon entity.
authors.affiliation: Division of Cardiothoracic Surgery, Department of Surgery, Southern Illinois University School of Medicine, Springfield, Illinois. Electronic address: cvassileva@siumed.edu.
authors.forename: Christina M
authors.initials: CM
authors.lastname: Vassileva
authors.forename: Blaine T
authors.initials: BT
authors.lastname: Manning
authors.forename: Theresa M
authors.initials: TM
authors.lastname: Boley
authors.forename: Stephen R
authors.initials: SR
authors.lastname: Hazelrigg
mesh_terms: D000328:Adult; D001018:Aortic Diseases / Q000145:classification / Q000150:complications / Q000601:surgery; D006406:Hematoma / Q000145:classification / Q000150:complications / Q000601:surgery; D006801:Humans; D008297:Male
keywords: 26