The Dynamic Evolution of Aortic Intramural Hematoma

Abstract

A 64-year-old man was admitted for crushing chest pain. Computed tomography revealed an aortic intramural hematoma, with progression to a penetrating aortic ulcer on day 7 and aortic dissection on day 30. The patient was treated with strict blood pressure control and thoracic endovascular aortic repair. He was discharged 3 days post-operatively. (Level of Difficulty: Beginner.)

Keywords

• acute aortic syndrome
• intramural hematoma
• penetrating atherosclerotic ulcer
• TEVAR
• type B aortic dissection