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Aortic Intramural Hematoma*: An Increasingly Recognized and Potentially Fatal Entity

Neilander S. Sawhney, MD; Anthony N. DeMaria, MD, FCCP; Daniel G. Blanchard, MD
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*From the Division of Cardiology, Department of Medicine, University of California, San Diego School of Medicine, and UCSD Medical Center, San Diego, CA.

Correspondence to: Daniel G. Blanchard, MD, UCSD Medical Center, 200 W. Arbor St, #8411, San Diego, CA 92103-8411; e-mail: dblanchard@ucsd.edu



Chest. 2001;120(4):1340-1346. doi:10.1378/chest.120.4.1340
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Aortic intramural hematoma (IMH) is related to but is pathologically distinct from aortic dissection. In this potentially lethal entity, there is hemorrhage into the aortic media in the absence of an intimal tear. Although intimal disruption is not present, the prognosis is similar to that of classic aortic dissection; therefore, early diagnosis is critical. In this review, symptoms and prognosis of aortic IMH are discussed, as well as current diagnostic techniques and therapy.

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