Key result
Urgent surgical intervention revealed overt aortic dissection with an intimal tear in a patient whose presentation initially mimicked two episodes of aortic intramural hematoma over four days.
Case Report (n=1)
Overt aortic dissection can mimic aortic intramural hematoma with transient regression, highlighting the need for careful monitoring and potential urgent surgical intervention.
Apparent recurrent intramural hematoma may mask evolving dissection; this Level 5 case leaves open refined imaging protocols.
We report an interesting case in which overt aortic dissection mimicked two episodes of aortic intramural hematoma (IMH) (Stanford A, DeBakey I). This took place over the course of four days and had a major influence on the surgical treatment strategy. The first episode of IMH regressed completely within 15 hours after it was clinically diagnosed and verified using imaging techniques. The recurrence of IMH was detected three days thereafter, resulting in an urgent surgical intervention. Overt aortic dissection with evidence of an intimal tear was diagnosed intraoperatively.
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Disha et al. (2016) conducted a case report in Overt aortic dissection mimicking aortic intramural hematoma (n=1). Urgent surgical intervention was evaluated on Intraoperative diagnosis of overt aortic dissection with evidence of an intimal tear. Urgent surgical intervention revealed overt aortic dissection with an intimal tear in a patient whose presentation initially mimicked two episodes of aortic intramural hematoma over four days.
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