HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Prat, A. Articles by Doisy, V. Search for Related Content PubMed PubMed Citation Articles by Prat, A. Articles by Doisy, V.

European Journal of Cardio-Thoracic Surgery, Vol 12, 510-512, Copyright © 1997 by European Association for Cardio-thoracic Surgery

ARTICLES

Intramural hematoma of the thoracic aorta: precursor sign to thoracic aortic dissection

A Prat, J Saez De Ibarra, JP Beregi and V Doisy
Department of Cardio Vascular Surgery, Service de CCV A, Hopital Cardiologique, Lille, France. aprat@chru-lille.fr

A 60-year-old man was admitted at his local hospital for persistent chest pain and suspicion of aortic dissection. No evidence of aortic dissection or intimal disruption was noted by means of computed tomography and transesophageal echocardiography. A localized intramural hematoma of the ascending aorta was found. He was first treated medically and remained asymptomatic for 8 days when he developed a new episode of chest pain. He was found to have an acute type A dissection by computed tomography. He underwent graft replacement of the ascending aorta and had an uneventful post-operative course. This case report describes the development of true aortic dissection in a patient who previously had a localized intramural hematoma.