Pillai Unnikrishnan Ponnamma Kunjan, John Santosh G, Kurup Aparna Narayana, Devasahayam Joe, Lacasse Alexandre
Department of Internal Medicine, St. Mary's Health Center, St. Louis, Missouri, USA.
Clin Pract. 2012 Jan 18;2(1):e12. doi: 10.4081/cp.2012.e12. eCollection 2012 Jan 1.
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.
主动脉壁内血肿（IMH）与主动脉夹层相关，但在病理上有所不同。在这个具有潜在致命性的病症中，主动脉中膜存在出血，而内膜没有撕裂。随着成像技术的最新进展，IMH现在越来越被人们所认识。现有的有限数据表明，IMH的临床病程与急性主动脉夹层相似，死亡率也相近。医生在评估胸痛时需要认识到这个病症。在此我们报告一例63岁女性的IMH病例，该病例采用保守治疗。
