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Intramural Hematoma of the Descending Thoracic Aorta Misdiagnosed as Aortic Rupture - A case report-  

조원민 (고려대학교 안산병원 흉부외과학교실)
민병주 (고려대학교 안산병원 흉부외과학교실)
이인성 (고려대학교 안산병원 흉부외과학교실)
신재승 (고려대학교 안산병원 흉부외과학교실)
Publication Information
Journal of Chest Surgery / v.37, no.10, 2004 , pp. 872-875 More about this Journal
Abstract
The treatment modalities of the intramural hematoma (IMH) remain controversial. Nowadays, the IMH of the descending thoracic aorta is generally classified in the medical treatment category. We describe a patient with IMH of the descending thoracic aorta who received the medical treatment. During the follow-up, we speculated that the IMH had been aggravated leading to an aortic rupture including hemothorax. Therefore, we performed an emergency operation. Contrary to our expectations, operative findings showed a well-organized aortic wall and serous pleural effusion. The exact diagnosis was IMH of the descending thoracic aorta with penetrating atherosclerotic ulcer (PAU). This case reminded us of the importance of accurate diagnosis and proper treatment.
Keywords
Aorta; Hematoma; Aortic rupture;
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