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 |
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container_title | Journal of clinical anesthesia |
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creator | Haddy, Steven M. Moore-Jeffries, Earl Starnes, Vaughn A. |
description | 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. |
doi_str_mv | 10.1016/S0952-8180(98)00087-7 |
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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.</description><identifier>ISSN: 0952-8180</identifier><identifier>EISSN: 1873-4529</identifier><identifier>DOI: 10.1016/S0952-8180(98)00087-7</identifier><identifier>PMID: 9805703</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>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</subject><ispartof>Journal of clinical anesthesia, 1998-11, Vol.10 (7), p.603-605</ispartof><rights>1998 Elsevier Science Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c360t-f7a3e9da68671297590532726641c5cb3260ebfbca81ee74de05da27a3389d003</citedby><cites>FETCH-LOGICAL-c360t-f7a3e9da68671297590532726641c5cb3260ebfbca81ee74de05da27a3389d003</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0952-8180(98)00087-7$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9805703$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Haddy, Steven M.</creatorcontrib><creatorcontrib>Moore-Jeffries, Earl</creatorcontrib><creatorcontrib>Starnes, Vaughn A.</creatorcontrib><title>Aortic intramural hematoma presenting as angina</title><title>Journal of clinical anesthesia</title><addtitle>J Clin Anesth</addtitle><description>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.</description><subject>Aged</subject><subject>Aneurysm, Dissecting - diagnosis</subject><subject>Aneurysm, Dissecting - diagnostic imaging</subject><subject>Aneurysm, Dissecting - surgery</subject><subject>Angina, Unstable - diagnosis</subject><subject>Aortic Aneurysm - diagnosis</subject><subject>Aortic Aneurysm - diagnostic imaging</subject><subject>Aortic Aneurysm - surgery</subject><subject>Aortic dissection</subject><subject>Diagnosis, Differential</subject><subject>echocardiography</subject><subject>Echocardiography, Doppler, Color</subject><subject>Echocardiography, Transesophageal</subject><subject>hematoma</subject><subject>Hematoma - diagnosis</subject><subject>Hematoma - diagnostic imaging</subject><subject>Hematoma - surgery</subject><subject>Humans</subject><subject>intimal tear</subject><subject>intramural</subject><subject>Male</subject><subject>Myocardial Revascularization</subject><subject>Nitroglycerin - therapeutic use</subject><subject>transesophageal</subject><subject>Vasodilator Agents - therapeutic use</subject><issn>0952-8180</issn><issn>1873-4529</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkMtOwzAQRS0EKqXwCZWyQrAIHcd1bK9QVfGSKrEA1pbjTIpRHsVOkPh73Ie6ZTWLe-6M5hAypXBHgeazN1A8SyWVcKPkLQBIkYoTMqZSsHTOM3VKxkfknFyE8BWhGNARGSkJXAAbk9mi872ziWt7b5rBmzr5xMb0XWOSjceAbe_adWJCYtq1a80lOatMHfDqMCfk4_Hhffmcrl6fXpaLVWpZDn1aCcNQlSaXuaCZElwBZ5nI8nxOLbcFy3LAoiqskRRRzEsEXpostphUJQCbkOv93o3vvgcMvW5csFjXpsVuCFpERlHBI8j3oPVdCB4rvfGuMf5XU9BbUXonSm8taCX1TpQWsTc9HBiKBstj62Am5vf7HOOXPw69DtZha7F0Hm2vy879c-EPg3x2tA</recordid><startdate>19981101</startdate><enddate>19981101</enddate><creator>Haddy, Steven M.</creator><creator>Moore-Jeffries, Earl</creator><creator>Starnes, Vaughn A.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19981101</creationdate><title>Aortic intramural hematoma presenting as angina</title><author>Haddy, Steven M. ; Moore-Jeffries, Earl ; Starnes, Vaughn A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c360t-f7a3e9da68671297590532726641c5cb3260ebfbca81ee74de05da27a3389d003</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Aged</topic><topic>Aneurysm, Dissecting - diagnosis</topic><topic>Aneurysm, Dissecting - diagnostic imaging</topic><topic>Aneurysm, Dissecting - surgery</topic><topic>Angina, Unstable - diagnosis</topic><topic>Aortic Aneurysm - diagnosis</topic><topic>Aortic Aneurysm - diagnostic imaging</topic><topic>Aortic Aneurysm - surgery</topic><topic>Aortic dissection</topic><topic>Diagnosis, Differential</topic><topic>echocardiography</topic><topic>Echocardiography, Doppler, Color</topic><topic>Echocardiography, Transesophageal</topic><topic>hematoma</topic><topic>Hematoma - diagnosis</topic><topic>Hematoma - diagnostic imaging</topic><topic>Hematoma - surgery</topic><topic>Humans</topic><topic>intimal tear</topic><topic>intramural</topic><topic>Male</topic><topic>Myocardial Revascularization</topic><topic>Nitroglycerin - therapeutic use</topic><topic>transesophageal</topic><topic>Vasodilator Agents - therapeutic use</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Haddy, Steven M.</creatorcontrib><creatorcontrib>Moore-Jeffries, Earl</creatorcontrib><creatorcontrib>Starnes, Vaughn A.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical anesthesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Haddy, Steven M.</au><au>Moore-Jeffries, Earl</au><au>Starnes, Vaughn A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Aortic intramural hematoma presenting as angina</atitle><jtitle>Journal of clinical anesthesia</jtitle><addtitle>J Clin Anesth</addtitle><date>1998-11-01</date><risdate>1998</risdate><volume>10</volume><issue>7</issue><spage>603</spage><epage>605</epage><pages>603-605</pages><issn>0952-8180</issn><eissn>1873-4529</eissn><abstract>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.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>9805703</pmid><doi>10.1016/S0952-8180(98)00087-7</doi><tpages>3</tpages></addata></record> |
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subjects | 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 |
title | Aortic intramural hematoma presenting as angina |
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