The Dynamic Evolution of Aortic Intramural Hematoma

• Published in: JACC. Case reports Vol. 1; no. 4; pp. 560 - 563
• Main Authors: Yuan, Xun, Chan, Jeffrey Shi Kai, Mitsis, Andreas, Nienaber, Christoph A.
• Format: Journal Article
• Language: English
• Published: Elsevier Inc 01-12-2019; Elsevier
• Subjects: acute aortic syndrome; Case Report; intramural hematoma; penetrating atherosclerotic ulcer; TEVAR; type B aortic dissection; acute aortic syndrome; penetrating atherosclerotic ulcer; type B aortic dissection; intramural hematoma; TEVAR
• ISSN: 2666-0849; 2666-0849
• DOI: 10.1016/j.jaccas.2019.08.013

A 64-year-old man was admitted for crushing chest pain. Computed tomography revealed an aortic intramural hematoma, with progression to a penetrating aortic ulcer on day 7 and aortic dissection on day 30. The patient was treated with strict blood pressure control and thoracic endovascular aortic repair. He was discharged 3 days post-operatively. (Level of Difficulty: Beginner.)
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A 64-year-old man was admitted for crushing chest pain. Computed tomography revealed an aortic intramural hematoma, with progression to a penetrating…