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  • Title: Aortic intramural hematoma with severe aortic regurgitation.
    Author: Inoue Y, Kiso I, Takahashi R, Yamada T, Mori A.
    Journal: Jpn J Thorac Cardiovasc Surg; 2003 May; 51(5):198-200. PubMed ID: 12776951.
    Abstract:
    A 71-year-old Japanese woman with severe chest pain was diagnosed with Stanford type A acute aortic dissection. After 3 months of medical treatment, she was operated on under a diagnosis of dissecting aneurysm of the ascending aorta and severe aortic regurgitation. Operative findings showed prolapse of the redundant aortic leaflets and a dilated ascending aorta without intimal tears. Operative and computed tomography findings differed from those of a classical dissection, which was the primary diagnosis of this patient, and were compatible with a diagnosis of aortic intramural hematoma (IMH). Few reports of IMH include concomitant aortic regurgitation. Surgery involved aortic root remodeling and prosthetic graft replacement of the ascending aorta.
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