Aortic intramural hematoma presenting as angina
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Updated: Oct 27, 2026

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Published on: March 28, 2025
S M Haddy1, E Moore-Jeffries, V A Starnes
1Department of Anesthesiology, University of Southern California, School of Medicine, USA.
Abstract:
We present a case of intramural hematoma initially misdiagnosed as angina, and requiring myocardial revascularization. Angiography failed to lead to the proper diagnosis and the original transesophageal echocardiogram was misinterpreted as showing an intimal flap that was actually an echocardiographic artifact. The echocardiographic characteristics and implications of this entity are reviewed.
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