title: Unusual Case of Overt Aortic Dissection Mimicking Aortic Intramural Hematoma.
abstract: We report an interesting case in which overt aortic dissection mimicked two episodes of aortic intramural hematoma (IMH) (Stanford A, DeBakey I). This took place over the course of four days and had a major influence on the surgical treatment strategy. The first episode of IMH regressed completely within 15 hours after it was clinically diagnosed and verified using imaging techniques. The recurrence of IMH was detected three days thereafter, resulting in an urgent surgical intervention. Overt aortic dissection with evidence of an intimal tear was diagnosed intraoperatively.
authors.affiliation: Department of Cardiac Surgery, Central Hospital Bad Berka.
authors.forename: Kushtrim
authors.initials: K
authors.lastname: Disha
authors.affiliation: Department of Cardiac Surgery, Central Hospital Bad Berka.
authors.forename: Thomas
authors.initials: T
authors.lastname: Kuntze
authors.affiliation: Department of Cardiac Surgery, Central Hospital Bad Berka.
authors.forename: Evaldas
authors.initials: E
authors.lastname: Girdauskas
keywords: Aortic aneurysm; Aortic diseases; Aortic dissection