Intramural hematoma of the descending thoracic aorta.

Conn Med

Vrije University Medical Center, Department of Cardiology 6D 120, De Boelelaan 1117, 1081 HV Amsterdam, The Netherlands.

Published: September 2005

Aortic intramural hematoma (AIH) is part of the acute aortic syndrome together with aortic dissection and penetrating aortic ulcer. AIH represents up to 12% of acute aortic syndrome cases and has a clinical presentation indistinguishable from that of classic aortic dissection. A patient with AIH is presented and the diagnostic, prognostic and therapeutic implications of the disease are discussed.

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