Chest 2001 Oct;120(4):1340-6
Aortic intramural hematoma : an increasingly recognized and potentially fatal
entity.
Sawhney NS, DeMaria AN, Blanchard DG.
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.
