Aortic intramural hematoma with rupture and concomitant acute myocardial infarction: Diagnostic and therapeutic dilemmas

Mamatha Punjee Raja Rao*, Prashanth Panduranga, Mohammed Al-Mukhaini, Lakshmi Ratnam, Mahmood Al-Jufaili

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)


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.

Original languageEnglish
Pages (from-to)1660.e5-1660.e8
JournalAmerican Journal of Emergency Medicine
Issue number8
Publication statusPublished - Oct 2012
Externally publishedYes

ASJC Scopus subject areas

  • Emergency Medicine

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