An under recognized cause of chest pain.
Aortic intramural hematoma (IMH) is related to but is pathologically distinct from aortic dissection. In this potentially lethal entity, there is hemorrhage into the aortic media in the absence of an intimal tear. With recent advances in imaging techniques, IMH is now increasingly recognized. The limited data available suggest that the clinical course of IMH mimics that of acute aortic dissection, and mortality rates are similar. Physicians need to be cognizant regarding this entity when they are evaluating chest pain. Here we report a case of IMH, in a 63-year-old female, which was managed conservatively.
Department of Internal Medicine, St. Mary's Health Center, St. Louis, Missouri, USA.
Unnikrishnan Ponnamma Kunjan
UP
Pillai
Department of Internal Medicine, St. Mary's Health Center, St. Louis, Missouri, USA.
Santosh G
SG
John
Department of Internal Medicine, St. Mary's Health Center, St. Louis, Missouri, USA.
Aparna Narayana
AN
Kurup
Department of Internal Medicine, St. Mary's Health Center, St. Louis, Missouri, USA.
Joe
J
Devasahayam
Department of Internal Medicine, St. Mary's Health Center, St. Louis, Missouri, USA.
Alexandre
A
Lacasse
dissection.; intramural hematoma