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  • Title: Noncommunicating intramural hematoma: an indication of developing aortic dissection?
    Author: Zotz RJ, Erbel R, Meyer J.
    Journal: J Am Soc Echocardiogr; 1991; 4(6):636-8. PubMed ID: 1760188.
    Abstract:
    A 60-year-old patient was referred to the hospital for persisting chest pain. The first transesophageal echocardiogram showed localized hematomas without aortic dissection. Several days later the patient suffered complete paraplegia after a second episode of chest pain. The transesophageal echocardiogram now showed a complete aortic dissection. Thus whether intramural hematomas can be regarded as an early sign of impending aortic dissection needs to be investigated.
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