TY - JOUR
T1 - Aortic intramural hematoma with rupture and concomitant acute myocardial infarction
T2 - Diagnostic and therapeutic dilemmas
AU - Rao, Mamatha Punjee Raja
AU - Panduranga, Prashanth
AU - Al-Mukhaini, Mohammed
AU - Ratnam, Lakshmi
AU - Al-Jufaili, Mahmood
PY - 2012/10
Y1 - 2012/10
N2 - Aortic intramural hematoma is a contained aortic wall hematoma without a demonstrable intimal flap. It is similar to aortic dissection, but the pathology and pathophysiology are different. We report a patient with a chronic descending thoracic aortic intramural hematoma presenting with acute rupture and periaortic hematoma along with concomitant acute ST-elevation myocardial infarction that proved to be catastrophic without intervention. We discuss the diagnostic and therapeutic dilemma.
AB - Aortic intramural hematoma is a contained aortic wall hematoma without a demonstrable intimal flap. It is similar to aortic dissection, but the pathology and pathophysiology are different. We report a patient with a chronic descending thoracic aortic intramural hematoma presenting with acute rupture and periaortic hematoma along with concomitant acute ST-elevation myocardial infarction that proved to be catastrophic without intervention. We discuss the diagnostic and therapeutic dilemma.
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U2 - 10.1016/j.ajem.2011.09.001
DO - 10.1016/j.ajem.2011.09.001
M3 - Article
C2 - 22030196
AN - SCOPUS:84869449414
SN - 0735-6757
VL - 30
SP - 1660.e5-1660.e8
JO - American Journal of Emergency Medicine
JF - American Journal of Emergency Medicine
IS - 8
ER -