Aortic intramural hematoma presenting as angina

We present a case of intramural hematoma initially misdiagnosed as angina, and requiring myocardial revascularization. Angiography failed to lead to the proper diagnosis and the original transesophageal echocardiogram was misinterpreted as showing an intimal flap that was actually an echocardiograph...

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Veröffentlicht in:	Journal of clinical anesthesia 1998-11, Vol.10 (7), p.603-605
Hauptverfasser:	Haddy, Steven M., Moore-Jeffries, Earl, Starnes, Vaughn A.
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Aneurysm, Dissecting - diagnosis Aneurysm, Dissecting - diagnostic imaging Aneurysm, Dissecting - surgery Angina, Unstable - diagnosis Aortic Aneurysm - diagnosis Aortic Aneurysm - diagnostic imaging Aortic Aneurysm - surgery Aortic dissection Diagnosis, Differential echocardiography Echocardiography, Doppler, Color Echocardiography, Transesophageal hematoma Hematoma - diagnosis Hematoma - diagnostic imaging Hematoma - surgery Humans intimal tear intramural Male Myocardial Revascularization Nitroglycerin - therapeutic use transesophageal Vasodilator Agents - therapeutic use
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Beschreibung
Zusammenfassung:	We present a case of intramural hematoma initially misdiagnosed as angina, and requiring myocardial revascularization. Angiography failed to lead to the proper diagnosis and the original transesophageal echocardiogram was misinterpreted as showing an intimal flap that was actually an echocardiographic artifact. The echocardiographic characteristics and implications of this entity are reviewed.
ISSN:	0952-8180 1873-4529
DOI:	10.1016/S0952-8180(98)00087-7