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  • Title: Aortic intramural hematoma with rupture and concomitant acute myocardial infarction: diagnostic and therapeutic dilemmas.
    Author: Rao MP, Panduranga P, Al-Mukhaini M, Ratnam L, Al-Jufaili M.
    Journal: Am J Emerg Med; 2012 Oct; 30(8):1660.e5-8. PubMed ID: 22030196.
    Abstract:
    Aortic intramural hematoma is a contained aortic wall hematoma without a demonstrable intimal flap. It is similar to aortic dissection, but the pathology and pathophysiology are different. We report a patient with a chronic descending thoracic aortic intramural hematoma presenting with acute rupture and periaortic hematoma along with concomitant acute ST-elevation myocardial infarction that proved to be catastrophic without intervention. We discuss the diagnostic and therapeutic dilemma.
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