Transesophageal echocardiography diagnosis of intramural hematoma of the ascending aorta: A word of caution

F. A. Flachskampf, M. Banbury, N. Smedira, J. D. Thomas, Mario J. Garcia

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

The diagnosis of intramural hematoma by echocardiography classically requires the presence of an echolucent, crescentic region in the wall of the aorta. Recently we have encountered 2 patients in whom intramural hematoma was characterized only by thickening of the aortic wall, which was circumferential in one patient, thus making the diagnosis difficult to distinguish from common atherosclerotic thickening of the aorta. In one case, computed tomography showed more clearly the abnormal tissue signature of the intramural blood. In summary, absence of an echolucent zone does not exclude the diagnosis of intramural hematoma. Alternative imaging procedures such as computed tomography and magnetic resonance imaging may enhance the diagnostic accuracy.

Original languageEnglish (US)
Pages (from-to)866-870
Number of pages5
JournalJournal of the American Society of Echocardiography
Volume12
Issue number10
DOIs
StatePublished - 1999
Externally publishedYes

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Transesophageal Echocardiography
Hematoma
Aorta
Tomography
Echocardiography
Magnetic Resonance Imaging

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

Transesophageal echocardiography diagnosis of intramural hematoma of the ascending aorta : A word of caution. / Flachskampf, F. A.; Banbury, M.; Smedira, N.; Thomas, J. D.; Garcia, Mario J.

In: Journal of the American Society of Echocardiography, Vol. 12, No. 10, 1999, p. 866-870.

Research output: Contribution to journalArticle

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