title: Imaging of Thoracic Intercostal Artery Rupture during the Propagation of a Type B Acute Aortic Syndrome.
abstract: The natural history of an intramural hematoma (IMH) has not been completely defined. This is a case report of a 63-year-old woman, in whom imaging reveals intercostal artery rupture during the process of expansion of an IMH in a Type B acute aortic syndrome. This case demonstrates that intercostal artery rupture may act as a precursor for the transformation of IMH to a classical dissection. Interestingly, complete resolution of this condition is achieved through medical management.
authors.affiliation: Institute of Cardiovascular Medicine and Science, Thoracic Aneurysm Service, Liverpool Heart and Chest Hospital, Liverpool, United Kingdom.
authors.forename: Matthew
authors.initials: M
authors.lastname: Fok
authors.affiliation: Institute of Cardiovascular Medicine and Science, Thoracic Aneurysm Service, Liverpool Heart and Chest Hospital, Liverpool, United Kingdom.
authors.forename: Mohamad
authors.initials: M
authors.lastname: Bashir
authors.affiliation: Institute of Cardiovascular Medicine and Science, Thoracic Aneurysm Service, Liverpool Heart and Chest Hospital, Liverpool, United Kingdom.
authors.forename: Lara
authors.initials: L
authors.lastname: Rimmer
authors.affiliation: Institute of Cardiovascular Medicine and Science, Thoracic Aneurysm Service, Liverpool Heart and Chest Hospital, Liverpool, United Kingdom.
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Hammoud
authors.affiliation: Institute of Cardiovascular Medicine and Science, Thoracic Aneurysm Service, Liverpool Heart and Chest Hospital, Liverpool, United Kingdom.
authors.forename: Aung
authors.initials: A
authors.lastname: Oo
authors.affiliation: Institute of Cardiovascular Medicine and Science, Thoracic Aneurysm Service, Liverpool Heart and Chest Hospital, Liverpool, United Kingdom.
authors.forename: Debbie
authors.initials: D
authors.lastname: Harrington
authors.affiliation: Institute of Cardiovascular Medicine and Science, Thoracic Aneurysm Service, Liverpool Heart and Chest Hospital, Liverpool, United Kingdom.
authors.forename: Manoj
authors.initials: M
authors.lastname: Kuduvalli
authors.affiliation: Institute of Cardiovascular Medicine and Science, Thoracic Aneurysm Service, Liverpool Heart and Chest Hospital, Liverpool, United Kingdom.
authors.forename: Mark
authors.initials: M
authors.lastname: Field
keywords: Aortic dissection; Intramural hematoma; Vasa vasorum