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...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
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:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 605
container_issue 7
container_start_page 603
container_title Journal of clinical anesthesia
container_volume 10
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
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_70039175</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0952818098000877</els_id><sourcerecordid>70039175</sourcerecordid><originalsourceid>FETCH-LOGICAL-c360t-f7a3e9da68671297590532726641c5cb3260ebfbca81ee74de05da27a3389d003</originalsourceid><addsrcrecordid>eNqFkMtOwzAQRS0EKqXwCZWyQrAIHcd1bK9QVfGSKrEA1pbjTIpRHsVOkPh73Ie6ZTWLe-6M5hAypXBHgeazN1A8SyWVcKPkLQBIkYoTMqZSsHTOM3VKxkfknFyE8BWhGNARGSkJXAAbk9mi872ziWt7b5rBmzr5xMb0XWOSjceAbe_adWJCYtq1a80lOatMHfDqMCfk4_Hhffmcrl6fXpaLVWpZDn1aCcNQlSaXuaCZElwBZ5nI8nxOLbcFy3LAoiqskRRRzEsEXpostphUJQCbkOv93o3vvgcMvW5csFjXpsVuCFpERlHBI8j3oPVdCB4rvfGuMf5XU9BbUXonSm8taCX1TpQWsTc9HBiKBstj62Am5vf7HOOXPw69DtZha7F0Hm2vy879c-EPg3x2tA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>70039175</pqid></control><display><type>article</type><title>Aortic intramural hematoma presenting as angina</title><source>MEDLINE</source><source>Access via ScienceDirect (Elsevier)</source><creator>Haddy, Steven M. ; Moore-Jeffries, Earl ; Starnes, Vaughn A.</creator><creatorcontrib>Haddy, Steven M. ; Moore-Jeffries, Earl ; Starnes, Vaughn A.</creatorcontrib><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><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>
fulltext fulltext
identifier ISSN: 0952-8180
ispartof Journal of clinical anesthesia, 1998-11, Vol.10 (7), p.603-605
issn 0952-8180
1873-4529
language eng
recordid cdi_proquest_miscellaneous_70039175
source MEDLINE; Access via ScienceDirect (Elsevier)
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
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-19T17%3A03%3A38IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Aortic%20intramural%20hematoma%20presenting%20as%20angina&rft.jtitle=Journal%20of%20clinical%20anesthesia&rft.au=Haddy,%20Steven%20M.&rft.date=1998-11-01&rft.volume=10&rft.issue=7&rft.spage=603&rft.epage=605&rft.pages=603-605&rft.issn=0952-8180&rft.eissn=1873-4529&rft_id=info:doi/10.1016/S0952-8180(98)00087-7&rft_dat=%3Cproquest_cross%3E70039175%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=70039175&rft_id=info:pmid/9805703&rft_els_id=S0952818098000877&rfr_iscdi=true