An under recognized cause of chest pain

  • Unnikrishnan Ponnamma Kunjan Pillai | unnikrishnanpk@yahoo.com Department of Internal Medicine, St. Mary’s Health Center, St. Louis, Missouri, United States.
  • Santosh G. John Department of Internal Medicine, St. Mary’s Health Center, St. Louis, Missouri, United States.
  • Aparna Narayana Kurup Department of Internal Medicine, St. Mary’s Health Center, St. Louis, Missouri, United States.
  • Joe Devasahayam Department of Internal Medicine, St. Mary’s Health Center, St. Louis, Missouri, United States.
  • Alexandre Lacasse Department of Internal Medicine, St. Mary’s Health Center, St. Louis, Missouri, United States.

Abstract

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. With recent advances in imaging techniques, IMH is now increasingly recognized. The limited data available suggest that the clinical course of IMH mimics that of acute aortic dissection, and mortality rates are similar. Physicians need to be cognizant regarding this entity when they are evaluating chest pain. Here we report a case of IMH, in a 63-year-old female, which was managed conservatively.

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Author Biographies

Unnikrishnan Ponnamma Kunjan Pillai, Department of Internal Medicine, St. Mary’s Health Center, St. Louis, Missouri
Resident
Santosh G. John, Department of Internal Medicine, St. Mary’s Health Center, St. Louis, Missouri
Resident
Aparna Narayana Kurup, Department of Internal Medicine, St. Mary’s Health Center, St. Louis, Missouri
Resident
Joe Devasahayam, Department of Internal Medicine, St. Mary’s Health Center, St. Louis, Missouri
Resident
Published
2012-01-18
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Issue
Section
Case Reports
Keywords:
intramural hematoma, dissection.
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How to Cite
Ponnamma Kunjan Pillai, U., John, S. G., Narayana Kurup, A., Devasahayam, J., & Lacasse, A. (2012). An under recognized cause of chest pain. Clinics and Practice, 2(1), e12. https://doi.org/10.4081/cp.2012.e12