Discussion

Aortic intramural hematoma (IMH) is an acute, potentially lethal disorder that is similar to, but pathologically distinct from, acute aortic dissection. In this condition, there is hemorrhage into the aortic media in the absence of an intimal tear. An autopsy study [1] noted that 13% of patients with a diagnosis of aortic dissection had IMH. These hematomas, like thoracic aortic dissections, involve the ascending aorta, such as in our case, aortic arch or both termed type A or the descending aorta named type B [2]. Although intimal disruption is not present, the prognosis is similar to that of classic aortic dissection; therefore, early diagnosis is critical.

Stay updated, free articles. Join our Telegram channel

Join