Korean J Thorac Cardiovasc Surg.  2016 Apr;49(2):126-129. 10.5090/kjtcs.2016.49.2.126.

Unusual Case of Overt Aortic Dissection Mimicking Aortic Intramural Hematoma

• Disha K
• Kuntze T
• Girdauskas E

• KMID: 2161810
• DOI: http://doi.org/10.5090/kjtcs.2016.49.2.126

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.

Keyword

Aortic diseases; Aortic dissection; Aortic aneurysm

MeSH Terms

Aortic Aneurysm
Aortic Diseases
Hematoma*
Recurrence
Tears